基金偏离视角下的社会医疗保险风险因子及可持续分析-《武汉职业技术学院学报》

文章信息/Info

Title:: The Analysis of Social Medical Insurance Risk Factors and Sustainability in the Perspective of Fund Deviation

Author(s):: GUO Chao-fan; School of Public Administration, Zhongnan University of Economics and Law, Wuhan430073, China

Keywords:: fund deviation; social medical insurance; risk factors; quaternity

摘要:: 社会医疗保险基金的可持续是医疗保险制度存在的基础。通过梳理影响医疗保险基金平衡的因素，从四个维度总结出人口年龄结构、医疗服务成本增长率、统筹层次水平等十二个风险因子的影响程度，从而以医药卫生“四位一体”联动机制构建、统筹城乡医疗保险制度、社会医疗保险监管体制创新三个方面为切入点，探讨社会医疗保险基金可持续发展的对策建议。

Abstract:: The sustainability of the social medical insurance fund is the basis of medical insurance system. By analyzing the influenced factors of the balance of medical insurance fund, we can summarize the influence degree of the twelve risk factors which include population age structure, growth rate of medical cost, pool level and so on from four aspects. Eventually, by building quaternity linkage mechanism of medicine and health, balancing urban and rural medical insurance system, innovating regulation system of social medical insurance, we probe into the countermeasures for the sustainable development of social medical insurance fund.