Evaluation of effectiveness of urban and rural integrated medical insurance system:An empiri-cal study based on Tianjin,Chongqing and Ningxia
10.3969/j.issn.1674-2982.2017.10.005
- VernacularTitle:城乡统筹医疗保险制度效果评价——基于天津、重庆、宁夏的实证研究
- Author:
hao Ai XU
1
Author Information
1. 中共天津市委党校 天津行政学院 天津 300191
- Keywords:
Urban-rural integration;
Medical insurance system;
System effect;
Comprehensive evaluation
- From:
Chinese Journal of Health Policy
2017;10(10):23-27
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To comprehensively evaluate the urban and rural residents' basic integrated medical in-surance system,taking Tianjin,Chongqing and Ningxia as case study areas,to provide policy suggestions to relevant government departments. Methods:The evaluation index system for urban and rural residents' basic integrated medi-cal insurance system was constructed and made use of the scatter degree method for the evaluation of the effect of the system. Results:(1) Fairness and policy guarantee are higher relatively,while the medical service and sustainability are still running short for the urban and rural residents' basic integrated medical insurance; (2) Effect of the urban and rural residents' basic integrated medical insurance system of three municipalities is obviously different due to the difference in their respective population size, economic development, etc. Conclusions: Reasonable policy sugges-tions put forward to the pilot cities to improve the urban and rural residents' basic integrated medical insurance sys-tem,such as strengthening the top-level design of policy,increasing fiscal subsidies and improving the mechanism of fund-raising and reimbursement and strengthening the supervision of the medical insurance fund.