摘要
重特大疾病医疗救助制度是我国防范因病返贫致贫、筑牢民生保障底线的重要举措。当前,我国重特大疾病医疗救助制度仍面临诸多现实问题,包括救助界线不清晰影响制度效率和公平、基金筹集和使用面临可持续压力与公平性难题、提高统筹层次面临困境与难点、部门间协同治理存在低效与壁垒、多方力量共同参与缺乏合力与规范等等。为此,本文建议从以下五方面着力完善：第一,明确制度定位,实现适度保障;第二,完善收支管理,提升制度公平;第三,提升统筹层次,赋能基层组织;第四,明确部门责任,加强协同治理;第五,引导多方力量,构建多元救助体系。
Abstract
The medical assistance system for serious, critical diseases is an important measure to prevent returning to poverty due to illness, poverty caused by illness, to strengthen the bottom line of people's livelihood security in China. At present, medical assistance system for serious, critical diseases still faces many realistic problems, including unclear assistance boundaries that affect efficiency, fairness of the system, sustainable pressure, fairness in fund raising, use, difficulties, challenges in improving overall planning, inefficiency, barrier in collaborative governance among departments, lack of synergy, standardization in multi-party participation. Therefore, this article suggests the following five aspects for improvement: firstly, clarifying the institutional positioning, achieving moderate security; secondly, improving revenue, expenditure management, enhance institutional fairness; thirdly, enhancing the level of overall planning, empowering grassroots organizations; fourthly, clarifying departmental responsibilities, strengthening collaborative governance; fifth, guiding multiple forces to build a diversified assistance system
关键词
重特大疾病 /
医疗救助 /
医疗保障
Key words
serious and critical diseases /
medical assistance /
healthcare security
丁继红, 陈俊蕾.
重特大疾病医疗救助制度的现实问题与完善方向[J]. 中国医疗保险. 2025, 0(1): 42-49 https://doi.org/10.19546/j.issn.1674-3830.2025.1.006
The Problems and Improvement of Medical Assistance System for Serious and Critical Diseases[J]. China Health Insurance. 2025, 0(1): 42-49 https://doi.org/10.19546/j.issn.1674-3830.2025.1.006
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