目的:以武汉市洪山区为例,分析城乡基本医疗保障制度衔接的可行性.方法:对两种医保制度的相关政策文件进行归纳整理,综合比较.结果:两种制度的最终目标都是建立全民医保；基本原则都是要求多制度协调发展,自愿参加保险,采用收支平衡和以收定支、财政专户和专款专用的方法管理资金；参保对象都是无工作单位的非从业者,且在同一个统筹县区内,收入及生活水平相差不大；筹资模式都是个人缴费与政府补助相结合,且政府承担主要责任；报销待遇都是大病医疗为主,住院按医疗机构的三级转诊制度逐级报销,且报销比例逐级下降.结论:制度衔接在政策制定、社会效益、财政支持方面具有可行性.可以通过统一统筹范围、扩大参保对象和建立多层次标准等办法让两种制度更好地衔接.%Objective: Illustrated by the case of District Hongshang, Wuhan, this article analyses the possibility of urban and rural basic medical security systems. Methods; Organizing the policy documents of two systems, we compare with the differences of two systems. Results; The ultimate aims of two systems are the establishment of universal health insurance; their basic principles are the balance development of various systems, the voluntary medical insurance and the funds management of maintaining a balance between receipts and payments and earmarking a fund for its specified purpose only; their insured people are un-business residents without workplaces, whose income are similar in the same administrative area; their financing models are individual contributions combined with government subsidies which take most of the financing responsibility; their reimbursement systems mainly aim at high expense diseases, which grade and descend gradually in accordance with the 3-grade system of medical institutions. Conclusion; Policy-making, social benefit and financial resources provide the basic of possibility of the link-up between two systems. In order to make a better link-up, we can try to unify the administrative areas, extend the range of insured people and establish multilevel standards.
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