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1998年,珠海市在全国率先启动医疗改革以来,历经几次大动作、高覆盖面、高补贴的发展,现已实现“大病统筹救助、中病进入保险、小病治疗免费”的全民医保的三角架构模式,城乡一体化的医保模式打破了城乡二元分割,探索出了一条建设“人人享有医疗保障”的医改道路和模式,“珠海模式”走在广东甚至是全国前列。本文试图通过探析珠海市新型城乡一体化全民医疗保障制度的具体执行问题,总结其经验并使其制度更加完善。
In 1998, after Zhuhai took the lead to start the medical reform in the country, Zhuhai City has now achieved universal medical coverage of “serious illness and overall assistance, disease-free insurance and free treatment for minor diseases” after several major moves, high coverage and high subsidies The triangular mode of urban-rural integration mode of medical insurance broke the dual division of urban and rural areas, explored a building “medical insurance for all ” path and mode of medical reform, “Zhuhai model ” walk in Guangdong and even the whole country Forefront. This article tries to summarize its experience and make its system more perfect by exploring the specific implementation of the new medical insurance system for urban-rural integration in Zhuhai.