中国医疗保障制度现状与改革方略

Current Situation and Reform Strategy of the Medical Security System in China

我国实现了医疗保障制度全民覆盖,实现了医疗保障运行广泛覆盖,初步构建了多层次医疗保障体系,实现了基本医疗保险基金总体平稳运行,医疗保障事业取得了巨大成就。但我国尚存在重特大疾病的医疗保障问题未得到有效解决、医药费用保障水平总体偏低、基本医疗保障制度体系有待完善等问题。今后应当加强创新,完善立法,优化制度,健全管理,改进技术,提升服务,通过建立健全重特大疾病保障机制、“收好、管好、用好”医疗保险基金、实现医疗保障数据标准化与网络一体化等举措,为人民群众提供更高质量、更有效率、更可持续的医疗保障。

The full coverage of the medical security system and the extensive coverage of the medical security operation have been realized in China.The multi-level medical security system has been preliminarily constructed,the overall stable operation of the basic medical insurance fund realized,and great achievements in the medical security industry made.However,some problems have not been effectively solved such as medical security for serious diseases,general low level of medical cost security and unsatisfactory basic medical security system.In the future,innovation should be strengthened,legislation improved,systems optimized,management,technology and services improved.People should be provided with more efficient and sustainable medical security with higher quality through establishment and improvement of the major and serious diseases security mechanism,through receiving,managing and using medical insurance fund suitably,and through medical security data standardization and network integration.