泰国“30铢医疗计划”对完善中国社会医疗保障体系的启示

Thailand’s 30 Baht Healthcare Plan and its Inspiration to Improve the Social Healthcare System in China

泰国通过实施'30铢医疗计划',给予其他社会医疗保障系统无法纳入的人群兜底包络式医疗服务,一举成为世界上为数不多的实现医疗保障全民覆盖的发展中国家之一。鉴于目前中国社会医疗保障体系存在基本医疗保障制度与医疗救助制度缺乏有效衔接、城乡医疗服务水平呈现二元结构、医疗费用难以控制等问题,本文认为,'30铢医疗计划'的目标人群财政兜底衔接设计、保障费用预先拨付、保障内容全面统一等经验,值得中国借鉴。

By implementing the 30 Baht Healthcare Plan, providing all-inclusive enveloping medical services to the groups that are not covered by the social health insurance system, Thailand has become one of the few developing countries that achieve universal coverage of health care in the world. In view of the defects in current social security system in China, such as the lack of an effective cohesion linking the basic medical care system and the medical assistance system, the urban-rural dual structure of medical service, and the difficulty of controlling medical expenses,this paper suggests that Thailand’s experiences,such as the financial fallback system on the 30 baht target group, the pre-paid security costs policy, and the unified security content are worth China to draw lessons from in improving the Social Healthcare System.