全民健康覆盖的内涵及我国推进全民健康覆盖的策略选择

Connotation of Universal Health Coverage and the Strategies Choice for Implementing Universal Health Coverage Coverage in China

世界卫生组织提出全民健康覆盖的内涵在于全社会每个人公平的享有其应享有的服务,重点关注的是服务的利用及风险保护。"全民医保"不是全民健康覆盖,我国当前全民覆盖的医疗保障体系只是实现全民健康覆盖的制度工具,以促进居民卫生服务的利用,不能保障每一位居民都能利用到其应享有的服务,解决居民服务利用的公平性问题。全民健康覆盖中的健康服务还包括公共卫生服务、健康促进等。我国全民健康覆盖的发展应依托现有的基本医疗保障体系,在促进服务利用的同时关注弱势群体的服务利用,正确评估改革,重点关注服务利用的困难群体。

WHO proposed the connotation of Universal Health Coverage（UHC） which aimed to make everyone in the whole country get the heahhcare they need. It focused on service utilization and risk protection. Universal Health Insurance is not UHC, the Health Insurance System for all population in China now is just a way to achieve the UHC in the process of the construction of Health Service System, and its function is to promote residents health service utilization, could not guarantee everyone get the service as they need, so as to solve the equity problem of resident health service utilization. The UHC health services including public heahhcare, health promotion and so on. The development of UHC in China should depend on the current Health Insurance System, focus on the service utilization of the weak group while promoting the service utilization, correctly evaluate the reform and focus on the disadvantaged group of service utilization.