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在全面梳理和总结各地城乡医疗救助统筹管理试点经验的基础上,将当前城乡医疗救助统筹管理归纳为“制度及资金账户完全一体化”、“账户分立,但资金可调剂”、“制度统一,但账户仍分立”、“结合城乡医疗保障一体化实现统筹”等四种模式,并对各种模式做出了评价。提出医疗救助城乡统筹可分为资金和实施两个层面,以及广度、深度和宽度三个维度。医疗救助要围绕救助资金这个核心来设计和推行,根据各地的社会经济发展情况选择逐步推进还是全面推进的实施路径,并通过提高经济水平、改善制度环境、利用社会资源、完善信息基础、推进一站式服务等措施来促进城乡医疗救助制度的融合和统筹管理。
On the basis of comprehensively reviewing and summarizing pilot experiences of overall management of urban and rural medical aid in various places, the overall management of urban and rural medical assistance in the current situation is summed up as “the complete integration of the system and the capital account”, “the account is separated but the funds are adjustable” “Unified system, but the account is still separate ”, “integration of urban and rural medical insurance to achieve integration ” and other four modes, and made a evaluation of various modes. Put forward medical aid to urban and rural areas can be divided into funding and implementation of two levels, as well as breadth, depth and width of the three dimensions. Medical aid should be designed and implemented around the core of bailout funds. According to the socio-economic development in different regions, medical assistance should be gradually promoted or fully implemented. By raising the economic level, improving the institutional environment, using social resources and improving the information base, Stop service and other measures to promote the integration of urban and rural medical assistance system and overall management.