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中医药"非对称共摊"机制的我国现代化医保治理探讨

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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.
Exploration of China's Modernized Health Insurance Governance with the Disproportionate Share Mechanism of Traditional Chinese Medicine
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.

Chinese modernizationhealthcare security governanceTraditional Chinese Medicinedisproportionate share

朱丽云、朱亚洲、肖富群、梁力中

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广西师范大学政治与公共管理学院 广西 桂林 541006

中国科学院合肥肿瘤医院 合肥 230000

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

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中医药 "非对称共摊"机制 中国式现代化 医保治理

教育部人文社会科学项目

22YJA630004

2024

中国卫生经济
中国卫生经济学会,卫生部卫生经济研究所

中国卫生经济

CSTPCDCHSSCD北大核心
影响因子:1.524
ISSN:1003-0743
年,卷(期):2024.43(5)
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