| 引用本文: |
胡芳芳,秦文哲,赵燕,等.职工医保门诊共济保障机制改革的思考*[J].中国卫生经济,2023,42(3):14-16,34.[点击复制] |
HU Fang-fang,QIN Wen-zhe,ZHAO Yan,et al.Thoughts on the Reform of Outpatient Coordination Guarantee Mechanism of Employee Medical Insurance[J].CHINESE HEALTH ECONOMICS,2023,42(3):14-16,34.[点击复制] |
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| 职工医保门诊共济保障机制改革的思考* |
| 胡芳芳,秦文哲,赵燕,李梦华,张萧红,李蕾,杨海峰,徐凌忠 |
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| (山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心 济南 250012 ;国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学) 济南 250012 ;山东大学卫生经济实验与公共政策研究中心济南 250012;山东大学齐鲁医学院公共卫生学院 济南 250012) |
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| 摘要: |
| 建立健全职工医保门诊共济保障机制，是新形势下完善我国医疗保障制度的重要任务部署。文章梳理了职工医保个人账户的设立背景与历史作用，提炼了个人账户现存的突出问题，提出了门诊共济保障机制改革建议，以期确保职工门诊保障问题妥善解决，促进职工医保的可持续发展，推动医疗保障事业高质量发展。 |
| 关键词: 职工医疗保险 个人账户 门诊共济 保障机制 |
| DOI： |
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| 基金项目:山东省社会科学规划重大项目(21AWTJ08) |
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| Thoughts on the Reform of Outpatient Coordination Guarantee Mechanism of Employee Medical Insurance |
| HU Fang-fang,QIN Wen-zhe,ZHAO Yan,LI Meng-hua,ZHANG Xiao-hong,LI Lei,YANG Hhai-feng,XU Ling-zhong |
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| Abstract: |
| It is an important task to improve China's medical security system under the new situation to establish and improve the employee medical insurance outpatient coordination guarantee mechanism. It aims to comb the establishment background and historical of the individual account of employee medical insurance，extract the outstanding existing problems of the individual account，and put forward the suggestions on the reform of outpatient coordination guarantee mechanism，so as to ensure that the problem of employee outpatient security is properly solved，promote the sustainable development of employee medical insurance and the high-quality development of medical security. |
| Key words: employee medical insurance individual account outpatient coordination guarantee mechanism |