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目的:对上海市医疗救助制度进行总结分析,归纳上海市医疗救助体系发展的成效与不足,为进一步完善上海市医疗救助制度设计提供建议。方法:检索国内外文献,并梳理上海市及其他省市相关政策文件,建立上海市医疗救助制度理论分析框架。结果:上海市已基本建立了较为完善的医疗救助制度,但在资金筹集、救助对象、救助内容和组织方式上仍然存在欠缺。结论:建议上海市医疗救助体系从拓宽筹资渠道、扩大救助范围、协调部门关系、完善医保衔接、发展信息系统等方面予以完善,进一步加大对重点人群的精准救助力度。
OBJECTIVE: To summarize and analyze the medical aid system in Shanghai, and to sum up the achievements and deficiencies in the development of the medical aid system in Shanghai, so as to provide suggestions for further improving the design of the medical aid system in Shanghai. Methods: Retrieve domestic and foreign literatures, sort out relevant policies and documents in Shanghai and other provinces and cities, and establish the theoretical analysis framework of Shanghai medical aid system. Results: Shanghai has basically set up a relatively perfect medical aid system, but there are still some shortages in terms of fund raising, assistance recipients, aid contents and organization methods. Conclusion: It is suggested that the medical aid system in Shanghai should be improved from the aspects of broadening the fund-raising channels, expanding the scope of aid, coordinating departmental relations, improving health care cohesion and developing information systems, and further increasing the precise aid to key populations.