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医疗保障制度的主要问题是如何迎接老龄化、疾病谱变化、城镇化与人口流动的挑战,除了发挥分散疾病风险的功能外,如何更好地促进人群健康是制度应该关注的方向。医疗保障制度作为社会保障体系和医药卫生体系的交集部分,既有分散疾病风险、降低经济负担的保险属性,又有促进改善人群健康结果的健康属性,过去我们过多强调其保险属性,而对其健康属性关注不够。建议“十三五”期间开始考虑“医疗保障”制度向“健康保障”制度过渡;
The main problem of the medical insurance system is how to meet the challenge of aging, change of disease spectrum, urbanization and population mobility. In addition to the function of spreading disease risk, how to better promote the health of the population is the direction that the system should pay attention to. As an intersection of the social security system and the medical and health system, the medical insurance system has both the insurance attribute of dispersing the risk of the disease and reducing the economic burden and the health attributes of promoting the health outcomes of the population. In the past, we emphasized too much on its insurance attributes. Not enough attention to their health attributes. It is suggested that the transition from “medical insurance” system to “health insurance” system be started during the “13th Five-Year Plan” period;