The implementation of fundamental medical insurance has alleviated the financial burden on patients regarding medical expenses and has upheld the equitable provision of essential medical services.Ensuring the long-term viability of medical insurance and curbing the inefficient use of medical resources necessitates a balanced management of both the supply and demand sides of medical insurance costs,aiming for a harmonious blend of medical equity and efficiency-a sensible approach.On the supply side,while ongoing debates persist about the prepayment system encompassing the entirety of medical insurance costs,it is widely regarded as a more viable solution.Conversely,on the demand side,models advocating shared payment responsibilities between medical insurance and patients,along with tiered diagnosis and treatment,generate considerable controversy..A conflict arises between the principles of fair medical care and the provision of identical basic medical services for similar medical needs,contingent upon differences in patients'economic capacities.Addressing this issue involves establishing monitoring systems for out-of-pocket expenses,which aid in scrutinizing the fairness of the basic medical insurance's out-of-pocket expense system.This becomes a pivotal factor in the consideration for adjusting insurance payment standards.Additionally,the government's reinforcement of the public service nature of public hospitals and augmenting the portion of insurance participants'contributions contribute significantly to ensuring the fairness of basic medical services for patients.
关键词
医疗公平/自付费用/社会性医疗保险/分级诊疗
Key words
equity of medical/out-of-pocket payment/social medical insurance/hierarchy of medical care
维普
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