摘要
目的:探讨将健康管理纳入基本医疗保障门诊统筹的保障范围。方法:理论研究方法。结果:将健康管理纳入基本医疗保障门诊统筹的保障范围是可行的,服务项目包括健康咨询、健康维护、就诊服务、诊疗保障四类。结论:纳入健康管理后走向由健康"守门人"把关的门诊全面保障,需要对基本医疗保障未来长远发展进行顶层设计和总体规划。
Objective： To discuss the insurance coverage of integrating health management into basic medical insurance of risk pooling for outpatient services. Methods： Theoretical research method. Results： It is feasible to integrate health management into basic medical insurance coverage of risk pooling for outpatient services. Service items include health counseling, health maintenance, treatment services and medical protection. Conclusion： After integrated into health management, insurants have outpatient comprehensive insurance by gate-keeper, and basic medical insurance needs top-level design and overall plan.
出处
《中国卫生经济》
北大核心
2014年第8期17-19,共3页
Chinese Health Economics
关键词
健康管理
门诊统筹
基本医疗保障
城镇居民基本医疗保险
城镇职工基本医疗保险
health management
risk pooling for outpatient services
basic medical insurance
resident medical insurance
employ- ee basic medical insurance
