甘肃地区医疗保险异地就医的问题及对策分析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。关键词：医疗保险；异地就医；问题；对策analysisoftheproblemsandcountermeasureofmedicalinsurancedifferentgoesseeadoctorabstractbecauseoftheunevendistributionofhigh-qualitymedicalresourcesinchina'seconomicandsociallife，haveoccurredinpatientsoff-sitemedicalphenomenon.aroundmedicalinsurancereimbursementstandardsandmanagementstyledifferences，butalsoaroundthemedicarefailstonetworked，causetogooff-siteclinics，healthinsuranceinsuredwilladvancemedicalexpenses，andincreasetheeconomicburdenofpatients，butalsoverymayproducemoreloopholesinmanagement，resultinginthelossofthenationalhealthinsurancefund.china'smedicalinsurancesystemplaystoensurethesupportofthepeopleandsocials第1页共17页tability，andpromotethebuildingofaharmonioussocietyandsocialroleintheprovisionofpublichealthservicesinlinewiththespiritofconvenientforthemasses，andtoreducetheburdenofmedicalexpenses.ifthehealthcaresystemisnotsmoothandconvenientforpatientstoprovideservicestoreducetheburden，contrarytotheoriginalintentionofthehealthinsurancesystemwasestablishedgreatly.therefore，itisnecessarytostrengthenthemanagementofoff-sitemedicaltreatmenttomedicareinsured，differentstandardsexistforthecurrenthealthcaremanagement，ineffectiveimplementationofthephenomenaontheimprovementandmanagementofinstitutionalstrengthening，sothatourcountry'shealthinsurancesystemaschina'seconomicthedevelopmentofsocietyconstantlytowardhumanefacilitation，themodernizationofcontinuousimprovementandprogress.keyword：medicalinsurance;differentgoesseeadoctor;problems;countermeasure目录1绪论......................................................................41.1研究背景及意义.....................................................41.2国内外相关研究综述..................................................41.2.1国外研究现状...................................................41.2.2国内研究现状...................................................51.3研究思路及方法.....................................................52医疗保险异地就医成因分析..................................................62.第2页共17页1城市化进程的加快....................................................62.2人口老龄化的加剧....................................................62.3医疗卫生条件的差异..................................................73医疗保险异地就医现状及存在问题............................................73.1医疗保险异地就医现状.................................................73.2医疗保险异地就医存在问题.............................................84医疗保险异地就医存在问题的原因分析..................
