流动人口异地就医即时结算现状与问题研究.pdfVIP

《 中国卫生经济》 第 卷第 期 （总第 期） 年 月 33 1 371 2014 1 医疗保障 流动人口异地就医即时结算现状与问题研究* ① ① 郭珉江 ， 郭 琳 摘 要 随着我国人口流动现象的加剧， 异地就医需求日益提高。 由于我国的基本医疗保险实行属地化管理， 不同地区间 的报销政策和报销水平差异导致异地就医产生的医疗费用难以及时报销， 大量流动人口在异地就医时仍面临较重的个人负担， 一定程度上限制了流动人口及时获取医疗服务。 文章在分析了流动人口异地就医特点的基础上， 总结 种典型异地就医即时结 3 算模式， 并探讨制约流动人口异地就医即时结算的主要问题， 从而提出加快推进异地就医即时结算的建议。 关键词 流动人口； 异地就医； 结算 中图分类号 R1-9 ； F840.613 文献标志码 A 文章编号 1003-0743(2014)01-0026-03 DOI 10.7664/CH The Situation and Problems Research on Immediate Settlement on Ecdemic Medical Care at Different Locations for Floating Population/GUO Min-jiang, GUO Lin//Chinese Health Economics,2014,33(1):26-28 Abstract With the intensification of population floating in China, there has been a growing demand for ecdemic medical care. Because basic medical insurance in China conduct localized management, the differentiation between reimbursement policy and level in different areas result in the difficulty of immediate settlement. The great quantity of floating population are faced with rather heavy personal burden when need medical care at different locations, which to some extent restrict in time healthcare for floating population. On the basis of analyzing the features of endemic medical care for floating population, it described three mode of typical immediate settlement on ecdemic medical care, discussed the main problems in restricting the flowing population get immediate settlement at different locations and put forward suggestions on improving the immediate settlement at different locations. Key words floating pop