医保制度公平可持续发展的路径探究:基于全民医保常态化发展视角

Exploration on the Sustainable Development Path of Medical System Equity: Based on the Normalized Development Perspective of Universal Coverage

目的:积极推进医疗保险制度整合,构建"全统一"模式,适应、引领全民医疗保险新常态发展之路。方法:通过探析全民医疗保险常态化发展的公平性内涵,阐述实现建设层面公平可持续的过程及实现运行层面、效果层面公平可持续的障碍,提出实现医疗保险制度公平可持续发展的路径。结果:医疗保险制度的发展演变始终以提升医疗保险制度的公平性,实现可持续发展为目标,医疗保险制度的整合,应在户籍制度改革的驱动下完成城镇居民基本医疗保险制度和新型农村合作医疗合并,实现城乡居民医疗保险制度的统筹。结论:构建全民医疗保险,积极推进以提升公平性、可持续发展为导向的医疗保险制度的整合、统一,开拓、适应、引领全民医疗保险新常态发展之路。

Objective： To aetively promote the integration of the medieal insurance system, construct the ＂unified＂ mode and adapt to the new normal, leading the national heahh care development process. Methods： Through analyzing the normal development of equal connotation under universal heahh care, it deseribed the equal sustainable construction process, implementation and the obsta- cles for the sustainable effect. It proposed the equal sustainable development path for medical insurance system. Results： The develop- ment of the medical insurance system kept aim at improving the equality of medical insurance system and achieving the sustainable de- velopment. The integration of medical system should achieve the integration of primary medical insurance system of urban residents and new rural cooperative medical system under the reform of household registration system so as to achieve the arrangement of ur- ban-rural resident medical insurance system. Conclusion： It needed to construct universal medical insurance, promote the integration and unity of the medical insuranee system led by promoting equity and sustainable development, explore and lead the new normal de- velopment of universal health insurance.