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浙江省磐安县2008年实施城镇居民医疗保险与新型农村合作医疗合并管理,形成统一的城乡居民医疗保险,城乡统筹的医保体系基本建成。城乡居民医疗保险虽然为提高群众健康水平、减轻群众医疗费用负担等作出了积极贡献,但由于城乡医疗资源配置不均衡,以及现行的乡镇卫生院奖励性绩效工资比重偏低等问题,城乡居民在医疗和医保服务的利用、可及性等方面仍然存在差别。
Zhejiang Pan’an County implemented the merger management of urban resident medical insurance and new-type rural cooperative medical care in 2008, forming a unified medical insurance for urban and rural residents, and basically completed the urban-rural health insurance system. Although medical insurance for urban and rural residents made a positive contribution to raising the masses’ health level and alleviating the burden of medical expenses for the masses, due to the unbalanced distribution of medical resources in urban and rural areas and the low proportion of incentive performance pay in township hospitals, There are still differences in the use and accessibility of medical and health-care services.