| 引用本文: |
李芬,王常颖,甘银燕.2015年上海市医疗救助情况及效果分析[J].中国卫生经济,2017,(11):29-31.[点击复制] |
.Analysis on The Situation and Effect of Medical Assistance in Shanghai in 2015/LI Fen, WANG Chang-ying, GAN Yin-yan, et al.// Chinese Health Economics[J].CHINESE HEALTH ECONOMICS,2017,(11):29-31.[点击复制] |
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| 摘要: |
| 目的：梳理上海市基本医疗保障制度、救助政策的制度，救助对象的实际医疗费用负担以及救助实施效果。方法：利用上海市民政局救助数据分析救助对象医疗费用负担、医疗救助效果和救助前后灾难性卫生支出发生情况。结果：2015年，上海市医疗救助对象的人均医疗费用17344元，自负费用占总医疗费用的27.4%。救助对象人均救助金额为2276元，救助占自负费用比例为48.0%，救助后自负费用占比14.3%，救助后自负费用降低了13.1个百分点。救助前发生灾难性卫生支出人数占总人数比例为27.1%，救助后发生灾难性卫生支出人数比例降为17.2%。结论：上海市医疗救助对降低自负费用作用、减少灾难性卫生支出较为明显，不同人群的救助水平有所差异。建议要实现救助对象的基本医保全覆盖，完善与基本医疗保险制度的衔接，进一步提高救助水平。 |
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| Analysis on The Situation and Effect of Medical Assistance in Shanghai in 2015/LI Fen, WANG Chang-ying, GAN Yin-yan, et al.// Chinese Health Economics |
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| Abstract: |
| Objective: To analyze the superposition effect of policies in the basic medical insurance, the supplementary insurance and medical assistance in Shanghai, the actual burden of relief object and assistance implementation effect. Methods: Using the data of Shanghai Civil Affairs Bureau to analyze the burden of medical expenses, the effect of medical assistance and the occurrence of catastrophic health expenditure. Results: In 2015, the per capita medical expenses of medical assistance in Shanghai was 17344 yuan, and the patient co-payment accounted for about 27.4% of the total medical expenses. The amount of per capita medical assistant was 2276 yuan, accounting for 48.0%of the co-payment; the co-payment accounted for 14.3% of the total medical expenses with the medical assistant, that was and 13.1percentage point of co-payment decreased. The proportion of catastrophic health expenditure before medical assistant was 27.1% and reduced to 17.2%. Conclusion: The medical assistance was effective in reducing the co-payment and catastrophic proportion in Shanghai, but the medical assistant differed among different population groups. it was suggested all objective of medical assistant should be full covered by basic medical insurance, enhanced the convergence of medical assistant with the basic medical insurance and improve d the level of medical assistant |
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