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关于实现基本医疗保险全民参保的若干思考 被引量:8

Some Reflections on Achieving Universal Coverage of Basic Medical Insurance
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摘要 实施全民基本医疗保险参保计划是我国"十四五"期间的重要工作内容.为深入分析我国基本医疗保险的参保现状和存在问题,文章基于各省的常住人口、流动人口的增长速率,以及宏观基本医疗保险参保率、微观流动人口参保率等指标,测算得到全国各省基本医保的断保、漏保实际情况,并相应调整全国各省的实际参保率.测算结果显示,调整后全国总体的参保率水平为92.9%,低于宏观统计数据值,说明我国还存在相当一部分人群,未被纳入基本医疗保险保障范围,这部分人群主要包括流动人口、灵活就业人员等,因此基本医疗保险全民参保计划不仅要将官方统计的剩余漏保人群纳入,还要将未被统计到的漏保人群覆盖. The implementation of the universal basic medical insurance coverage plan is an important part of China’s 14 th Five-Year Plan.In order to analyze the current situation and problems of China’s basic medical insurance coverage,this paper measures the actual situation of disenrollment and underenrollment of basic medical insurance coverage in each province based on the growth rate of resident population and mobile population in each province,as we ll as macro basic medical insurance coverage rate and micro mobile population coverage rate,and adjusts the actual coverage rate of each province in China accordingly.The measurement results show that the adjusted overall national participation rate level is 92.9%,which is lower than the macro statistical data value,indicating that there is still a considerable part of the population in China,which is not covered by the basic medical insurance,which mainly includes the mobile population,flexibly employed people,etc.Therefore,the basic medical insurance universal coverage plan should not only include the remaining underinsured people in the official statistics,but also the unaccounted.This is why the plan should not only cover the remaining underinsured people in the official statistics,but also the underinsured people who are not covered.
作者 朱铭来 胡祁 赵轶群 ZHU Ming-lai;HU Qi;ZHAO Yi-qun(School of Finance,Nankai University,Tianjin,300350,China)
出处 《中国卫生经济》 北大核心 2021年第1期45-48,共4页 Chinese Health Economics
基金 国家社会科学基金项目(18BGL199)。
关键词 基本医疗保险 全民参保 参保率 basic medical insurance universal coverage adjustment of participation rate
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