【摘要】 全民覆盖是世界各国医疗保障改革的重要目标。经过长期探索,一些先进国家已经形成了典型的医疗保障模式,从筹资的角度看可以归为税收筹资模式、社会健康保险筹资模式和商业健康保险筹资模式。后起国家的医疗改革并不囿于固定的模式,而是根据本国的社会经济情况,在先进国家经验的基础上进行创新,体现在横向上通过不同模式向无保障的人群拓展;纵向上划分保障层次,安排不同的筹资渠道。文章主要研究了泰国、新加坡和墨西哥等国家在医疗保障制度创新上的经验。在此基础上,结合我国的现实情况,讨论了城镇居民基本医疗保险的制度设计,以及实现医疗保障全民覆盖的实施路径。更多还原

【Abstract】 Universal coverage is an important goal of social medical security reform all over the world. Through long-term exploration, some advanced countries have already formed typical social medical security models. Seeing in term of financing,those can belong to the model of tax funded,the model of social health insurance and the model of private health insurance. The health care reforms of the up-and-coming countries are not limited to the prototypes,but according to their own national social economic conditions,carry on innovation in foundation of the advanced countries’ experience,which were reflected by expanding to uncovered crowd through different models on horizontal direction,and divide the levels of protection on vertical direction,to arrange different fund-raising channels. This paper mainly investigates into Thailand,Singapore and Mexico,which have rich experience on innovation in social medical security system. On this basis,combining the reality of China,This paper has discussed the design of the social medical insurance scheme for uncovered urban residents and the implementation route of social medical security reform to ensure the universal coverage.更多还原