医疗保险异地就医存在的问题及对策分析.docVIP

医疗保险异地就医存在的问题及对策分析 摘要 在我国的经济社会生活中，因为优质医疗资源的分布不均衡，患者异地就医的现象时有发生。但各地医疗保险偿付标准和管理方式的差异，而且各地医保未能实现联网，造成医保参保人在前往异地进行诊疗时，将垫付更多的诊疗费用，增加了患者的经济负担，也十分有可能产生更多的管理漏洞，造成国家医保基金的损失。当前我国的医疗保险制度，起着保证民心稳定和社会稳定、促进和谐社会的构建以及本着方便群众、减少医疗支出负担的精神提供公共医疗服务的社会作用。如果医保制度不能顺利便捷地为患者提供服务减轻负担，则大大地违背了医保制度建立的初衷。因此，必须加强对医保参保人员的异地就医的管理，针对当前医保管理中存在的标准不一、执行不力的现象进行制度上的完善和管理上的加强，使我国的医保制度随着我国经济社会的发展不断向着人性化、便利化、现代化方向持续完善与进步。　　Analysis of the problems and countermeasure of medical insurance different goes see a doctor Abstract Because of the uneven distribution of high-quality medical resources in Chinas economic and social life, have occurred in patients off-site medical phenomenon. Around medical insurance reimbursement standards and management style differences, but also around the Medicare fails to networked, cause to go off-site clinics, health insurance insured will advance medical expenses, and increase the economic burden of patients, but also very may produce more loopholes in management, resulting in the loss of the national health insurance fund. Chinas medical insurance system plays to ensure the support of the people and social stability, and promote the building of a harmonious society and social role in the provision of public health services in line with the spirit of convenient for the masses, and to reduce the burden of medical expenses. If the health care system is not smooth and convenient for patients to provide services to reduce the burden, contrary to the original intention of the health insurance system was established greatly. Therefore, it is necessary to strengthen the management of off-site medical treatment to Medicare insured, different standards exist for the current health care management, ineffective implementation of the phenomena on the improvement and management of institutional strengthening, so that our countrys health insurance system as Chinas economic the development of society constantly toward humane facilitation, the modernization of continuous improvement and progr