现有的城市医疗救助制度在救助理念、政策设计等方面均存在着根本性缺陷,对于现有的城市医疗救助制度进行发展取向的改革和完善势在必行。必须运用新的发展型社会政策范式,重新建构适合各地情况的城市医疗救助制度框架。这一制度设计的核心理念是:改变医疗救助政策仅仅是一种支出的传统看法,把医疗救助及相关社会救助视为一种社会投资行为。其目标是消除资格排斥,扩大救助范围,着眼于满足目标群体的有效性需求和发展性生计,遏制贫困状况的固化和代际传递,提高其生活质量。 The existing urban medical aid system has fundamental defects in the salvage concept and policy design, which is imperative for the reform and improvement of the existing urban medical aid system. The new developmental social policy paradigm must be used to reconstruct the urban medical aid system framework that is suitable for all localities. The core concept of this system design is: to change the medical aid policy is only a traditional view of expenditure, and regards medical assistance and related social assistance as a kind of social investment. Its objective is to eliminate the exclusion of qualifications, expand the scope of relief, focus on meeting the effectiveness needs of the target groups and developing livelihoods, curb poverty solidification and intergenerational transmission, and improve their quality of life.