【摘要】 如何缓解医疗保障福利的"悬崖效应"是当前巩固拓展脱贫攻坚成果同乡村振兴有效衔接阶段面临的紧迫问题。结合湖北省调查数据,分析了在脱贫攻坚阶段贫困户与非贫困户医疗保障福利的"悬崖效应"。结果表明,在医疗保障扶贫政策框架下,贫困户享受的医疗保障福利明显高于非贫困户,由此导致的"悬崖效应"虽能有效解决贫困户的脱贫问题,但不能有效阻止非贫困户尤其是贫困边缘户的致贫问题。基于此,提出了限制住院和门诊报销条件、建立统一医疗救助标准、实施分类帮扶措施以及加强医疗服务的制度建设等建议。更多还原

【Abstract】 How to alleviate the“cliff effect”of medical security and welfare is an urgent problem facing the current stage of consolidating and expanding the achievements of poverty alleviation and rural revitalization. Combined with the survey data of Hubei province,the“cliff effect”of the medical security welfare of poor and non-poor was analyzed in the stage of poverty alleviation. The results show that under the framework of the medical security poverty alleviation policy,the medical security benefits of the poor households enjoy are significantly higher than the non-poor households. Although the resulting“cliff effect”can effectively solve the poverty alleviation problem of the poor households,it can not effectively prevent the poverty-causing problem of the non-poor households,especially the poor marginal households. Based on this,some suggestions are put forward,such as limiting the conditions of hospitalization and outpatient reimbursement,establishing unified medical assistance standards,implementing classified assistance measures and strengthening the system construction of medical services.更多还原