| 摘要: |
| 目的: 在“人人享有医保”的政策前提下，探讨西藏城乡居民基本医疗保险制度并轨的方案、面临的问题及对策。方法：采用描述与对比法，分析西藏城乡医疗制度运行的状况。结果：提出并轨面临户籍制度的限制、西藏城乡医疗卫生事业发展不均衡、并轨后管理方式等问题。结论：从横向统筹、由多部门协同管理、建立统一的医保信息管理系统、分级诊疗机制、完善藏药报销药品目录、“一制多档”、纵向统筹等方面提出政策建议，逐步实现西藏城乡医保制度的并轨。 |
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| A Study on the Integration of Basic Medical Insurance System for Urban and Rural Residents in Tibet |
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| Abstract: |
| Objective: Under the premise of the policy of "Everybody has health insurance", It is explore d the plan of the integration of the basic medical insurance system for urban and rural residents in Tibet about the problems and the countermeasures. Methods : Descriptive and contrastive methods were used to analyze the status of urban and rural medical system operation in Tibet. Results: The problem of unbalanced development of urban and rural medical and health services in Tibet and the management of post - merger were put forward. Conclusion: It is necessary to put forward policy recommendations from the aspects of horizontal co-ordination, multi-sectoral collaborative management, unified medical insurance information management system, hierarchical diagnosis and treatment mechanism, perfect Tibetan medicine reimbursement catalog, "one system and multiple files" and vertical co-ordination, and gradually realize the urban and rural medical insurance in Tibet System integration |
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