一体化医疗保障的理论释义与实践推进

从法理学、政治学、行政学意义上讲,建立一体化医疗保障有着重要的意义。一体化医疗保障应突破医疗保障一体化的思维限制,从医疗保障体系内部及外部思考其内涵与外延。现实中,我国一体化医疗保障主要是从医疗保障体系的扩容及保疗保障内部的一体化进行探索,医疗保障呈现碎片化和模糊化的状态,离一体化医疗保障的目标还有一定距离。一体化医疗保障的推进,需要从顶层设计上整合并细化医疗保障制度体系,从管理体系上形成整体性治理,推进贫困群体的识别机制与信息管理、保障基金预算与支出管理、医疗保障与医疗服务的一体化。

Theory and Practice of Integrated Healthcare Security

From the perspective of jurisprudence,politics and administration,it is of great significance to establish integrated healthcare security.The integrated healthcare security should be thought outside the box of the medical insurance integration,and focus on the connotation and extension of the healthcare security.In reality,China's integrated healthcare insurance is mainly from the expansion and integration of the medical insurance system.Healthcare security is fragmented and blurred,and there are many things should be done to achieve the goal of integrated healthcare security.The promotion of integrated healthcare security needs to refine the healthcare security system from the top-level design,form an integrated governance from the management system,and promote the identification mechanism and information management of the poor groups,the budget and expenditure management of the security fund,and the integration of healthcare security and medical care services.