完善河北省城市医疗救助制度的对策分析研究.pdf

摘 要 摘 要 随着我国市场经济体制的发展，社会竞争日趋激烈，增加了城市贫困人口的整体数 量，城市贫困群体的医疗问题逐渐成为社会关注的热点问题。现行的城市低保制度和职 工基本医疗保险制度已不能使城市贫困群体摆脱医疗困境。对城市贫困群体实施医疗救 助，可以在一定程度上解决贫困群体因病致贫和因病返贫的问题。城市医疗救助制度是 国家和社会为满足城市贫困群体基本医疗卫生服务需求而建立的一种社会救助制度，以 维持目标人群的基本生存能力。 本文在了解河北省城市贫困群体生活现状的基础上，分析了贫困群体所面临的医疗 困境。以河北省城市医疗救助制度的现状和成效为研究对象，通过数据分析、文献查阅、 抽样调查等手段收集资料，发现了河北省城市医疗救助制度运行中存在着救助覆盖群体 范围过窄、申请审批程序繁琐、救助介入时机偏后的等一系列问题。最后在论证了完善 河北省医疗救助制度必要性的基础上，结合前期专家学者的研究成果，从救助覆盖面、 申请程序、费用结算方式、医疗救助质量评价体系等方面提出了完善河北省城市医疗救 助制度的对策。 关键词 城市贫困群体 医疗困境 医疗救助制度 I Abstract Abstract With the continuous development of the socialist market economy, social competition has become more and more furious. Great changes have taken place in both the size and composition of poverty-stricken population in urban areas. In recent years, the medical problem of urban poverties has become a hot issue, which has attracted great concern of the society. Both the active urban residents’ minimum living security system and employees’ basic medical insurance system can not help the urban poverties get out of medical plight. To a certain extent, Medicaid for urban poverties could deal with their problem of poverty caused by illness. Urban Medicaid System is a social relief system set up by the state to meet the demands of basic medical care for the urban poverties. Based on the thorough understanding of the urban poverties’ living situation in Hebei Province, the thesis analyzes the medical plight facing the poverties and chooses the present situation and achievements of Urban Medicaid System in Hebei Province as research object. Through different r