中医药"非对称共摊"机制的我国现代化医保治理探讨
Exploration of China's Modernized Health Insurance Governance with the Disproportionate Share Mechanism of Traditional Chinese Medicine
朱丽云 1朱亚洲 2肖富群 1梁力中3
作者信息
- 1. 广西师范大学政治与公共管理学院 广西 桂林 541006
- 2. 中国科学院合肥肿瘤医院 合肥 230000
- 3. 广东医科大学医疗保障研究院 广东 湛江 524023;广东医科大学附属医院 广东 湛江 524000
- 折叠
摘要
党的二十大报告提出了国家治理最重要、最核心的战略路径——中国式现代化.在中国式现代化这一顶层设计的指导下,我国新时代的医保制度需要走出一条既符合中国特色又兼具世界卫生资源配置基本规律与特征的中国式现代化医保治理新范式.文章结合二十大报告"促进医保、医疗、医药协同发展和治理"的医改任务与"促进中医药传承创新发展"的目标,借鉴国际卫生资源配置的"非对称共摊"补偿机制,从必要性、适配性2个角度探索医保的中医药"非对称共摊"机制,以最大限度实现医保战略购买目标,为医保资源持续支持中医药特色诊治提供体系化、规范化、可持续的中国式现代化医保治理示范.
Abstract
The 20th National Congress report proposed the most important and core strategic path of national governance:Chinese modernization.Under the guidance of the top-level design,the healthcare security system needs to find a new paradigm of healthcare security governance under the Chinese modernization that is both in line with Chinese characteristics and the basic laws and characteristics of the world's sanitary resources.Combined with the 20th National Congress report,the medical reform tasks of"promoting the development and governance of medical services,medical insurance and pharmaceutical synergy"and"promoting the inheritance of Traditional Chinese Medicine"are required to learn from the international"disproportionate share"health resources compensation system.From the perspective of necessity and adaptability,it explore the Traditional Chinese Medicine(TCM)disproportionate share mechanism of medical insurance,in order to maximize the realization of the strategic purchasing goal of health insurance and to provide a systematic,standardized and sustainable modernized Chinese health insurance model for the continuous support of TCM medicine special diagnosis and treatment with medical insurance resources.
关键词
中医药/"非对称共摊"机制/中国式现代化/医保治理Key words
Chinese modernization/healthcare security governance/Traditional Chinese Medicine/disproportionate share引用本文复制引用
基金项目
教育部人文社会科学项目(22YJA630004)
出版年
2024
NETL
NSTL
万方数据