积极生育支持背景下不孕不育医疗保障政策国际比较研究

Research on infertility health insurance policy under the background of active fertility support:Based on a perspective of international comparison

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.