共享发展视域下基本医疗保险制度整合研究

On integration of basic medical insurance system based on shared development

基本医疗保险制度的"碎片化"构建和"先行先试"整合中形成的"再碎片化"悖论,严重制约医疗成果的共享。在全面建成小康社会的决胜阶段,必须用新的发展观统领医保制度的整合。共享发展体现公平正义,强调通过共建共担实现成果共享,不仅是医保整合的理念,也是其起点与归宿,更是实现手段。坚持共享发展,通过确立国民医保权利的主体地位、顶层设计整合型医保制度、重塑服务型政府医保整合的主导责任,以实现医保制度的全面整合,确保全体人民医保权利和机会的共享。同时,需要用共享发展统领整合型医保制度的实施以保障全体人民都能有尊严地共享医疗发展成果。

The paradox of ＂fragmentation＂ in basic medical insurance system and ＂re-fragmentation＂ in the integrationdue to ＂ prior to carry and try＂ policy,seriously restricted medical achievements sharing.In decisive stage of building a welloff society,it is necessary to integrate medical insurance system with a new concept.Shared development which embodies fairness and justice,stressesachievements sharing by co-construction,is not only a concept,but also a starting point and destination,even means.So it is a must to establish the dominant position of the national health insurance rights,design integrated medical insurance systemon top-leveland reshape the leading responsibility of service-oriented governmentin order to realize the comprehensive integration and ensure medical insurance rights and opportunities sharing of all the people.Meanwhile,it is a need to guild the integration with shared development to guarantee all the people can share medical developments with dignity.