我国医疗保障的制度转型与发展路径研究

摘要

China ’ s basic medical care system has achieved universal coverage , faced the system transformation with substance fair .Under the transformation background from universal coverage to integration on urban and rural areas , and the transformation direction from the “medical care” to“health for all”, through the institutional transition path on system design , service delivery , financial support , this paper points out that how to improve quality of medical care and optimizing the level of health care services , match sustainable funding system and improving payment system , which in public health , medical services , medical care and medicine supply , realize the transformation and the development from universal medical care to health care .%我国基本医疗保障制度已实现全民覆盖，面临着从形式普惠到实质公平的制度转型。在从全民覆盖到城乡统筹的转型背景下，以及从“病有所医”到“人人享有健康”的转型方向下，文章提出通过制度设计、服务供给、经济支持三位一体的制度转型路径，提升医疗服务质量和优化医保服务水平，匹配持续的筹资体系与完善的支付系统，在公共卫生、医疗服务、医疗保障和药品供应四位一体的转型条件下，逐步实现从全民医保到国民健康保障的转型与发展。