我国医疗保障制度推进健康扶贫的探索和成效

The exploration and effectiveness of health poverty alleviation based on China’s medical security system

通过界定贵州、河南、四川的部分地区健康扶贫对象,分析健康扶贫“组合拳”的方案及其效果等,提出了医疗保障制度推进健康扶贫的一些思考:一是健康扶贫不仅要关注当前,还要结合实际关注因病致贫风险人群;二是城乡居民医保是“组合拳”的核心,相对倾斜支持,合理控费更关键;三是加强医疗保障制度间的全过程衔接,切实做好健康扶贫;四是合理确定保障水平,规避道德风险;五是推进健康扶贫关口前移,减少因病致贫和因病返贫是关键。

This paper analyzes the subject definitions, comprehensive measures and effectiveness on healthy poverty alleviation in Guizhou, Henan and Sichuan provinces. It puts forward some conclusions as follows: firstly, health poverty alleviation need to pay more attention to people who at the risk of poverty caused by illness; secondly, the basic insurance for urban and rural residents do actually play a fundamental role in the comprehensive measures, but cost control is more important than a relatively inclined support; thirdly, it is necessary to strengthen the linkage of the whole progress on comprehensive measures; fourthly, the reimbursement ratio needs to be developed reasonably to avoid moral hazards; and fifth, the disease prevention measures can reduce poverty caused by illness in a long-term change.