摘要
本文基于全民健康覆盖框架,从人群覆盖广度、服务覆盖宽度和费用覆盖深度三个维度,比较了12个国家的不孕不育医疗保障政策异同与效果。为全面构建积极生育支持体系,应针对我国不孕不育高发、医疗费用高昂的社会人口问题,借鉴国际经验,完善不孕不育医疗保障顶层设计,构建多层次保障体系;明确覆盖患者的纳入标准;动态调整医疗服务清单;综合考虑政策目标、筹资能力和患者需求等因素科学制定适宜费用保障标准。多元协同为不孕不育患者提供充分的经济支持,推动实现适度的生育水平。
Based on the conceptual framework of Universal Health Coverage(UHC),this work compared the differences and effects of infertility health insurance policies across 12 countries from three dimensions:range of population coverage,scope of service coverage,and depth of cost coverage.In order to build an active all-round fertility support system,the government should aim at the social and demographic problems of high incidence of infertility and high medical expenses in China,learn from international experience,construct holistic framework of infertility health insurance policy and establish a multi-level security system;clarify the inclusion criteria for patient coverage;dynamically adjusting the list of medical service coverage;and scientifically determine the appropriate level of reimbursement by comprehensively considering multiple key factors such as policy objectives,financing capacity and patient demand.Overall,multi-party cooperation shall be implemented to provide sufficient financial support for infertility patients to achieve a moderate fertility level.
作者
张海琴
耿玲
李顺平
李超凡
ZHANG Hai-qin;GENG Ling;LI Shun-ping;LI Chao-fan(Centre for Health Management and Policy Research,School of Public Health,Cheeloo College of Medicine,Shandong University,Jinan Shandong 250012,China;NHC Key Lab of Health Economics and Policy Research,Shandong University,Jinan Shandong 250012,China;Center for Health Preference Research,Shandong University,Jinan Shandong 250012,China;Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan Shandong 250012,China;Center for Reproductive Medicine,Shandong University,Jinan Shandong 250012,China)
出处
《中国卫生政策研究》
CSCD
北大核心
2022年第12期38-45,共8页
Chinese Journal of Health Policy
基金
教育部人文社科基金(22YJCZH076)
山东省自然科学基金(ZR2021MG010)。
关键词
不孕不育
医疗保障
积极生育支持
全民健康覆盖
国际比较
Infertility
Health insurance
Active fertility support
Universal Health Coverage
International comparison