加拿大医疗保险研究.pdfVIP

摘 要 中国的社会医疗保险改革势在必行,全民医疗正在酝酿中,作为全民公费 医疗的典型案例-加拿大医疗保险以其低成本高效率得到本国人民的普遍认同 和国际社会的赞誉。但是目前国内对加拿大公共医疗保险的研究基本处于空白。 本文本着求实客观的精神全面剖析了加拿大公共医疗保险制度,涉及制度 历史、资金来源、保险范围、立法规范、支付方式和管理制度以及存在的问题 和昀新的发展。 尽管加拿大公共医疗保险制度存在等待时间长、医生短缺、财政压力等问 题,但是这些问题也是全球社会保障和发达国家公共医疗保险面临的共同问题, 不得不承认加拿大公共医疗保险以其全民公费、政府垄断性购买的鲜明特色取 得了巨大的成功,成本控制和本国人民健康状况均居发达国家前列,具有重要 的借鉴意义,主要体现在: 1、明确的制度设计宗旨??满足医疗需求 2、稳固的立法保证 3、有效的费用控制体系 4、重视初级医疗 5、公共医疗保险和商业医疗保险界限清晰 6、群众广泛参与的公共医疗保险 在考察了我国社会医疗保险的基础上,笔者提出了在新一轮医疗保险改革 中应当注意的问题: 1、通过立法明确既定目标,建立具有前瞻性的行动指南 2、正确处理公平与效率的关系 3、政府严格控制医疗卫生资源4、建立基本医疗保险的公共管理体系 5、积极发展补充保险,提高保障水平,减轻政府财政负担 Abstract As we all know, Medicare reform in China is a must. The government is going to implement a universal Medicare system in the not far future according to the reports from mediaCanada’s Medicare system is cost-effective. That means it uses the medical resources more effectively or efficiently. First and foremost, Canadians support their health care system. As The Conference Board of Canada has noted: “Of all of Canada’s social policies, [the health care system] is the most prized, and it is central to Canadians’ views of what is necessary for a high quality of life.” Studies show that a publicly funded health care system provides many economic benefits. Public funding spreads the cost of health care services across the entire populationCanada’s labor costs are lower because employers do not have to fully fund employee health benefits; this gives businesses in Canada a competitive edgeThe author demonstrates and analyzes the most aspects of Canada’s Medicare, such as the history, fund, Acts, finance, reform, coverage, hospitals, doctors and related research, and finds the incentives to the Canada’s Medicare success. These incentives are: i. Provide Medicare on the basis of need, rather than the ability to payii. Public funded, universal coverageiii. Based on the health act iv. Emphasize on the primary health care and home care v. Public involvement vi. The defined role of