论文部分内容阅读
本刊2002年第7期的《政策选登》栏目刊登了《关于强化省、部属驻榕单位医疗保险服务管理有关问题的通知》(闽劳社[2002]文288号)(以下简称288号文),引起了不少读者的兴趣。他们很想了解有关288号文的更具体详细的情况。为此,本刊记者专程采访了省劳动保障厅医疗保险处调研员、副处长许鸿平,就288号文作了较为详细、权威的解释。记:许处长,请您先简单介绍一下288号文出台的背景。许:从国际国内经验看,社会保障有两大主题,一是保障制度设计,二是服务管理,前者是基础、前提,如果方案不当,出现制度缺陷和弊端,单靠管理是难以解决问题的。我国医疗保险制度充分借鉴国际成熟经验,从制度设计上看是科学、可行、符合中国国情的;后者是关键,是中心环节,再好的制度,如果管理跟不上,制度优势就会被抵消,甚至被冲垮,其中医疗保险尤其如此。所以说,医疗保险成功与否,是“三分政策,七分管理”;这一提法虽显得有些过于绝对,但足以说明服务管理之重要。一个好的制度和政策,必须通过有效的管理才能保证其贯彻落实和组织实施。按照全省医保工作会议要求,今年
The publication of “Selected Policies on Selected Policies” in Issue 7 of 2002 published the Circular on Issues Concerning the Management of Medical Insurance Services in Units under Provincial and Subordinate FMBs (Minluoshe [2002] No. 288) (hereinafter referred to as “No. 288” Wen), aroused the interest of many readers. They would love to know more details about Circular 288. To this end, the reporter made a special trip to interview with the Provincial Department of Labor and Social Security Medicare Department researcher, deputy director Xu Hongping, on the 288th made a more detailed and authoritative explanation. Reporter: Xu Director, please give a brief introduction to the background of Circular 288. Xu: Judging from international and domestic experience, there are two major themes in social security. One is the design of the security system and the other is service management. The former is the foundation and the premise. If the solution is improper, there are system defects and malpractices, and it is difficult to solve the problems by management alone . The system of medical insurance in our country fully draws on the mature international experience and is scientific and feasible from a system design point of view, which is in line with China’s national conditions. The latter is the key point and the best system at the center. If management can not keep up, the institutional advantages will be Offset, or even be destroyed, including medical insurance in particular. Therefore, the success or failure of medical insurance is “one-third of the policy, seven management”; Although this formulation is somewhat over-absolute, it is enough to show the importance of service management. A good system and policy must be effectively managed to ensure its implementation and organization and implementation. In accordance with the province’s health care work conference requirements this year