摘要
随着慢性病高发和老龄化步伐的加快,"重治疗、轻预防"的传统医疗保险制度设计无法从源头上控制参保人的疾病风险,同时也加大了医保基金的财务风险。因此,我国传统医疗保障制度在长期内可逐渐转型为预防和治疗并重的健康保障制度。将健康管理纳入基本医疗保障体系,推动以事后补偿为中心的医疗保险制度逐步转变为以预防治疗为主的社会健康保险制度,有助于实现全民健康的目标,确保我国医疗保障制度的可持续发展。
With the high incidence of chronic diseases and the rapid population aging, this "superiority of treatment over prevention' system cannot control the disease risk from the origin and increase the financial risk of medical insurance fund at the source. Therefore, the traditional Chinese medical security system have transformed gradually to a health care system which focus on both treatment and prevention. By incorporating health management into the basic medical insurance system, and promoting compensation later in center of the medical insurance system into the social health insurance system aimed at prevention, this help to achieve the goal of the national health and can ensure the sustainable development of the medical insurance system of China.
作者
荆涛
杨舒
许晴
JING Tao(School of Insurance, University of International Business and Economics, Beijing, P. R. Chin)
出处
《中国卫生事业管理》
北大核心
2018年第6期421-423,432,共4页
Chinese Health Service Management
基金
中国人民财产保险股份有限公司灾害研究基金项目"基于保险企业视角的我国医疗卫生体制改革对医疗责任保险的影响及商机研究"(2016D04)
教育部人文社会科学研究规划基金项目"人口移出老龄化背景下我国农村失能老年人‘居家扶助型’养老模式研究"(16YJA840004)
中国人民大学科学研究基金重大规划项目"健康老龄化视域下的中国老年照护体系研究"(17XNLG08)
对外经济贸易大学社会保障学特色学科(8110051103)
关键词
健康管理
医疗保险
管理式医疗
health management
medical insurance
managed- care plan