重大疫情医疗救治费用的保障机制研究

Security Mechanism of Medical Expenses in Emergency Epidemics

通过对重大疫情医疗救治费用保障现状的研究,诠释了以基本医疗保险为主,财政兜底及其它补充构成的医疗救治费用保障制度,从基本医疗保险基金、财政承受能力、社会捐赠、医疗费用的审计与过程保障等多方面剖析重大疫情医疗救治费用保障存在的问题,阐明医疗救治费用内隐的社会医疗保险基金与医疗卫生服务缺陷。针对短板漏洞,从重大疫情医疗救治费用保障的长效机制提出相关建议,为重大疫情医疗救治费用的安全保障提供参考依据。

By research on situation of medical expenses in emergency epidemics,basic medical insurance plays an important role,government finance plays the role of assistance and other insurances make up security mechanism of medical expenses.The basic medical insurance funds,ability of government finance,social donation,audit of medical expenses and progress of security are analyzed by problems of medical expenses in emergency epidemics.The shortage of medical expenses that are contained social medical insurance funds as well as basic health service are explained.Because of these disadvantages,it is proposed from a long-term mechanism of medical expenses in emergency epidemics that risk-responsibility share,combination among medical insurance,hospital and drug industry-coordination dealing,multilevel-structure,cost controlling-saving expenses,management method-suggestion of supervision regulation.It offers to useful references for safety security of medical expenses in emergency epidemics.