城乡居民大病保险对城乡居民基本医保基金的影响探析.pdfVIP

中国医药导报 2015 年 12 月第 12 卷第 36 期 ·卫生研究· 城乡居民大病保险对城乡居民 基本医保基金的影响探析 王飞 汤少梁 南京中医药大学经贸管理学院，江苏南京 21∞23 [摘要]目的评估城乡居民大病保险全面实施对城乡居民基本医保基金的影响，为完善我国城乡居民大病保险制 度提供建议。方法选取肺癌、胃癌、食道癌 3 种疾病，根据《中国卫生统计年鉴》、《中国劳动统计年鉴》以及中 国恶性肿瘤发病与死亡系列文献资料计算这3 种疾病 2∞9-2013 年经初次补偿后的住院医药总费用以及城 乡居民基本医保基金结余，并比较两者差异。结果 2009-2013 年肺癌、胃癌、食道癌的住院医药总费用年均增 长率呈上升趋势，而城乡居民基本医保基金结余年增长率呈下降趋势基金运用压力增大。结论应扩宽大病保 险的筹资渠道，推动城乡居民基本医保并轨，同时建立大病保险精算制度。 [关键词]大病保险;城镇居民基本医疗保险;新型农村合作医疗;基金 [中圄分类号] R197 [文献标识码]A [文章编号] 1673-7210(2015)12(c)-0109-04 Analysis of the influence of unified catastrophic disease iosurance for ur- ban and rural residents on the funds of urban and rural basic insurance WANG Fei TANG Shooliang School of Economics and Management , Nanjing University of Chinese Medicine , Jiangsu Province , Nanjing 210023 , China [Abstract] Objective To evaluate the inf1uence of unified catastrophic disease insurance for urban and rural residents on the funds of urban and rural basic insurance and put forward suggestions to improve the unified catastrophic disease insurance for urban and rural residents. Methods Lung cancer, stomach cancer and esophagus cancer were selected as study objects , based on the information came from China He a1th Statistic a1 Yearbook , China Lahour Statistic a1 Year- book and Reports of Cancer lncidence and Mortality in China , the inpatients medical expense of these three disease that had been reimbursed first was compared with the funds surplus of urban and rural basic insurance from 2009 to 2013. Results The lung cancer, stomach cancer and esophagus cancer average annual growth rate of i