【摘要】 目的了解我国社区卫生服务机构城镇基本医疗保险起付线与自付比情况。方法采用描述性和推断性分析方法对全国医疗机构和社区卫生服务机构的城镇基本医疗保险起付线、自付比情况进行描述和分析。结果社区卫生服务机构职工医保起付线高于居民医保,职工医保自付比低于居民医保;社区卫生服务机构职工医保起付线、居民医保起付线和自付比均低于二三级医疗机构;社区卫生服务机构基本医保起付线、自付比在东、中、西部地区无显著性差异。结论社区卫生服务机构中两种城镇医保补偿水平差距较大,可适当提高居民医保补偿水平;社区卫生服务机构基本医疗保险补偿水平高于二三级医院,应根据东、中、西部地区经济情况调整当地医保补偿水平。更多还原

【Abstract】 OBJECTIVE To learn the situation of the basic medical insurance in community health service institutions of the key contact cities.METHODS Applying descriptive and statistical analysis methods to descript and analyze the deductible and individual payment proportion of the basic medical insurance in medical institutions and community health service institutions all over country.RESULTS Deductible of the basic medical insurance of employees was higher than it of the basic medical insurance of residents,the individual payment proportion of the basic medical insurance of employees was lower than it of the basic medical insurance of residents,deductible and the individual payment proportion of the basic medical insurance of employees in community health service institutions were lower than them in second-class and first-class medical institutions,there was no significant difference in the deductible and the individual payment proportion of the basic medical insurance among community health service institutions in China’s eastern,central and western areas.CONCLUSIONS There was a big difference in the compensation level between the two kinds of the basic medical insurance in community health service institutions;Compensation may be appropriate to raise the level of medical insurance of residents.the compensation level of the basic medical insurance in community health service institutions was higher than it in second-class and first-class medical institutions,Should be based on the eastern,central and western regions of local economy to adjust the level of compensation.更多还原