俄罗斯强制医疗保险制度构建的法律依据和实践经验

On Legal Basis and Practical Experiences of Compulsory Medical Insurance System Construction in Russia

俄罗斯强制医保制度改革遵循政府主导、多方融资、风险分担、基本医疗服务免费的构建原则,坚持医保体系法制化建设路径;其联邦法律、政府规划、医保药品法规等多层次的法律法规为该制度的规范化实施提供法律依据,以确保医疗保障体系转轨运行的合法性,以及医疗服务市场的稳定与灵活,在坚持基本医疗服务一体化原则、确立健康国家优先发展地位、强化政府主导、修订法律法规适应现实需求等方面的经验值得借鉴。

Russian compulsory medical insurance system reform follows the principles of government-oriented,multi-party financing,risk sharing and free basic health care,and adheres to the legalization of the medical insurance system.Its multi-level laws and regulations such as federal law,government programs and medicare drug regulations provide a legal basis for the standardized implementation of the compulsory medical insurance system,and ensure the legality of the medical security system transition,as well as the stability and flexibility of the medical service market.And we should learn from its experiences in adhering to the principle of the integration of basic medical services,establishing the priority status of healthy countries,strengthening the government-led and revising laws and regulations to meet the actual needs.