分别由各个部门管理的“3+1”医疗保障制度,存在着城乡制度分设、管理资源分散等问题,引发了待遇不均衡、城乡不衔接、流动不适应等矛盾,这种制度模式的公平性不可避免地遭到了质疑。为打破城乡画地为牢的藩篱,通过几年来的努力,杭州整合了管理资源、理顺了管理体制、实现了制度融合,医疗保障逐步走向公平。 The “3 + 1” medical insurance system managed by each department separately posed problems such as the separation of urban and rural areas and the diversification of management resources, which triggered the imbalance of treatment, the non-convergence of urban and rural areas, and the mismatch of mobility. This model of institutional Inevitably, fairness has been questioned. In order to break the barrier that urban and rural areas have been dominating, through several years of efforts, Hangzhou has integrated management resources, streamlined the management system, realized the institutional integration and gradually brought medical protection to fairness.