福建省基本医疗保险制度公平性探讨

Explore Fairness in the Basic Medical Insurance System of Fujian

由于多种原因,福建省基本医疗保险制度发展中存在着不公平性,表现在职工医保个人账户的不公平性、居民医保与新农合筹资中财政补助不公平性、卫生服务不公平性、医疗待遇不公平性等。通过分析产生不公平的原因,提出适度调整制度定位、优化调整个人账户政策、提高医保制度统筹层次、加大财政倾斜力度、优化普通门诊统筹相关政策建议,以增进医疗保险制度的公平性。

There is much unfairness, such as the unfairness in the medical insurance personal accounts of the employees, the unfairness in financial assistance for the residents and the new rural cooperative medical insurance, the inequity of health services, medical treatment, and so on, occurred in the development of the basic medical insurance in Fujian. By analyzing the causes of the unfairness, we suggest adjusting the orientation of the basic medical insurance, optimizing individual accounts, raising the level of overall planning in medical insurance system, increasing financial investment, and optimizing overall planning in general outpatient services, to promote the fairness in the medical insurance system.