我国大病保险政策评价基于旬邑县的实证研究.pdfVIP

口政策研究 《中国卫生经济》 第34卷第8期(总第390期} 2015年8月 我国大病保险政策评价:基于旬邑县的实证研究* 毛瑛①，朱斌①， 刘锦林①， 吴静娴①， 井朋朋①，李翌晨①， 宋晓阳① 摘 要 目的:采用公共政策分析方法对大病保险政策运行效果和政策实施现状进行评价。 方法:采取国际上通行的 结构-过程-结果评价体系，通过合理设定测量指标和评价方法， 对大病保险制度设计、政府支持、基金运行状况等进行评 价。结果:旬邑县大病保险制度体系已经较为完备，资金筹集和运行情况良好，有效降低了大病患者家庭灾难性卫生支出发 。 结论:应通过拓展筹资渠遭、开发商业医疗保险筹措施进一步提高大病 生率.但也存在参保率不高、待遇水平较低等问题 保险的保障水平和扩大曼益范围，建立大病保险运行的科学评价系统。 关键词 大病保险;结构-过程-结果;评价 中图分类号 R1-9i R19-0 文献标志码 A 文章编号 1 003-0743(2015)08-001 0-05 001 10.7664/CH Evaluation on the Catastropbic Medical lnsurance PoJicy in Cbina: Based on E mpirical Researcb of Xu nyi Countyl MAO Ying, ZHU Bin , LIU Jin-lin, et alJIChinese HeaUh Economics, 20J5 ,34(8): JO- 14 Abstract Object.ive: Public policy analysis method was used to evaluate the poli r.y running efTecls and the currenl implementa- lion silualion of Ihe catωlrophic medical insurance. Methods : Based on the generaJ intemational evalualion system of 飞lructure-pro­ 闭路-outcome， reasonable sets of melrics and measuremenl melhods were designed 10 evaluate the syslem design , governmenl sup- port and funcl operating conditions of catastrophie medical insurance. Results: Catastrophic medical insurance mechanism of Xunyi Counly wa s relatively compleled , fund raising and running were in good condiLÎon , which e(fectively reduced the incidenr.e of eata- strophic hea lth exPf叫iture， but the enrolment rate of the employees ancl lhe treatment level 创ill needed to be improved. Cond usion : It needecl to expand the fìnanc ing channel and develol) commercial medical insurance 50 as to further develop the insurance level, ex- pand the benefìl range of the catastrophic medical insurance mechani sm and establish a scientifìc evaluation sy