河北大学学报(哲学社会科学版) ›› 2024, Vol. 49 ›› Issue (5): 27-39.DOI: 10.3969/j.issn.1005-6378.2024.05.003

• 深入学习贯彻党的二十届三中全会精神专题 • 上一篇    

医疗保障反贫困:理论逻辑、经验证据与政策优化

胡宏伟,陈一林   

  1. 中国人民大学 公共管理学院, 北京 100872
  • 收稿日期:2024-03-15 发布日期:2024-09-11
  • 作者简介:胡宏伟(1980—),男,河北保定人,博士,中国人民大学公共管理学院教授、博士生导师,主要研究方向:社会保障、老年问题。 陈一林(1996—),女,甘肃天水人,中国人民大学公共管理学院博士研究生,主要研究方向:社会保障、健康保障、贫困问题。
  • 基金资助:
    国家社会科学基金项目“社区整合照护对我国老年失能轨迹的影响效应与治理体系研究”(22BRK045)

Medical Insurance for Poverty Alleviation:Theoretical Logic, Empirical Evidence,and Policy Optimization

HU Hongwei,CHEN Yilin   

  1. School of Public Administration and Policy, Renmin University of China, Beijing 100872, China
  • Received:2024-03-15 Published:2024-09-11

摘要: 医疗保障反贫困是现阶段我国医疗保障政策发展的核心任务之一。结合风险理论的视角,以政府为主的反贫困主体通过医疗保障,有效阻断健康风险与经济风险之间的因果互动,解决经济贫困的产生及其溢出问题。我国医疗保障反贫困经历了从“初步探索”到“规范发展”再到“优化转型”的演变历程,形成以医疗服务反贫困、医疗救助反贫困和医疗保险反贫困为主的三重政策体系,医疗保障反贫困政策措施不断健全、效率逐步提高、功能不断完善。但仍面临医疗保障反贫困政策体系转型挑战、制度改革优化挑战和政策功能提升挑战。当前,应明确医疗保障反贫困政策目标,健全医疗保障反贫困政策体系,提升医疗保障反贫困政策效能,推动医疗保障反贫困体系实现高质量发展。

关键词: 医疗保障反贫困, 医疗救助, 医疗保险, 医疗服务

Abstract: Medical security for poverty alleviation is one of the core missions in the development of Chinas medical security policy at the current stage.Based on the theory of risk,the government-led anti-poverty efforts effectively interrupt the causal interaction between health risks and economic risks,as well as the issues of economic poverty and its spillover effects through medical security.Chinas medical security for poverty alleviation has evolved from “initial exploration” to “standardized development” and then to “optimized transformation”,forming a three-level policy system focused on poverty alleviation through medical service,medical assistance,and medical insurance.The anti-poverty measures in healthcare have been continuously improved,with increasing efficiency and functions,and the functions of the medical insurance anti-poverty policy have been continuously enhanced.However,challenges remain in the transformation of the healthcare anti-poverty policy system,the optimization of institutional reforms,and the enhancement of policy functions.Currently,it is crucial to clarify the objectives of healthcare anti-poverty policies,improve the policy system,enhance the effectiveness of these policies,and promote the high-quality development of the healthcare anti-poverty system.

Key words: medical security for poverty alleviation, medical assistance, medical insurance, medical service

中图分类号: