城乡一体化医疗保障制度障碍分析及对策

我国从20世纪90年代开始逐步建立起以城镇职工医疗保险、新型农村合作医疗和城镇居民基本医疗保险为主体的覆盖城乡的医疗保障制度。全国各地在这个制度框架的基础上,结合本地实际探索了很多针对不同群体的具体政策,在解决城乡居民＂看病难、看病贵＂问题上取得了显著的成效。然而由于这种医保是建设在城乡二元结构基础上,且两者存在矛盾和问题,随着城镇化加速,人口流动规模增大,矛盾凸显。医保要想打破城乡界限,缩小差距,还需要多方的努力。

The Analysis of the Obstacles of Medical Security System of Urban and Rural Integration

China has established a medical security system covering both urban and rural area since 1990s,including town worker medical insurance,the new rural cooperative medical and urban resident basic medical insurance.On the basis of this institutional framework,local governments probe into different policies combining with local conditions for the different groups,achieved remarkable results in solving the problems for the urban and rural residence,such as difficulties in getting medical services and high price....