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在医疗改革和我国十二五规划的背景下,完善统一的城乡居民基本医疗保险制度,实现一体化管理,已经成为建设和谐民主社会的一项重要内容。经过12年的发展,中山市在全省乃至全国率先实现城乡一体化的医疗保险体系,基本实现职工医保网、农村医保网、居民医保网“三网合一”的全民医保。基本医疗保险体系下一步的改革重点是加强制度的有效衔接,加强公共财政投入,强化定点医疗机构管理,进一步提高管理服务水平和完善商业保险参与机制。
Under the background of medical reform and the 12th five-year plan of our country, improving the unified basic medical insurance system for urban and rural residents and realizing integrated management have become an important part of building a harmonious and democratic society. After 12 years of development, Zhongshan City, the first in the province and even the country to achieve the integration of urban and rural medical insurance system, the basic realization of employee health insurance network, rural health insurance network, the residents health insurance network “triple play ” universal health insurance. The next reform of the basic medical insurance system will focus on strengthening the effective linkages of the system, strengthening public financial input, strengthening the management of designated medical institutions, further improving the management and service level and improving the commercial insurance participation mechanism.