农村失能老人医疗保障权实现路径探析——以安徽省为例

Analysis on the Realization Path of Medical Security Rights for Rural Disabled Elderly—A Case Study of Anhui Province

摘要: 中国式现代化强调民生为大，随着我国人口老龄化程度加深，农村失能老人的医疗保障问题日益成为社会关注的焦点。为适应安徽省医疗保障改革安排，健全完善老年人医疗，本文采用规范分析和实证分析的研究方法，就安徽省农村失能老人的医疗保障问题进行探讨。分析指出了在当前人口老龄化背景下失能老人问题的医疗保障的必要性，基于此，结合安徽省医疗救助政策的实施效果分析出该政策在安徽省取得的显著成效，参保资助对象机制实现全覆盖，主动发现机制实现由人找政策到政策嵌入生活的转变，追溯机制落地见效等，透过上述执行动态，为持续推动医疗救助走向更成熟、更定型，从优化社区护理和家庭签约医生模式，为失能老人提供更专业的护理照料；构建数据平台为老年群众线上就诊，费用结算提供有力支撑；动员社会力量共建医疗保障新格局三个方面提出优化路径。

Abstract: Chinese modernization prioritizes people’s livelihoods. With the deepening of population aging in China, the medical security issue of disabled elderly people in rural areas has increasingly become a focus of social concern. To adapt to the medical security reform arrangements in Anhui Province and improve the medical care for the elderly, this paper adopts the research methods of normative analysis and empirical analysis to explore the medical security issue of disabled elderly people in rural areas of Anhui Province. The analysis points out the severity of the problem of disabled elderly people in the current context of population aging and the necessity of medical protection. Based on this, combined with the implementation effect of the medical assistance policy in Anhui Province, it is concluded that this policy has achieved remarkable results in Anhui Province, with the mechanism of providing subsidies for insured people achieving full coverage, the active discovery mechanism transforming from people seeking policies to policies being embedded in life, and the traceability mechanism being effectively implemented. Through the above implementation dynamics, this paper proposes three optimization paths for continuously promoting medical assistance towards greater maturity and stability: optimizing the community care and family doctor contract model to provide more professional care for disabled elderly people; building a data platform to provide strong support for online medical treatment and cost settlement for the elderly; and mobilizing social forces to jointly build a new pattern of medical security.