多元主体参与下上海市医疗卫生筹资现状分析

Analysis on the Current Situation of Medical and Health Financing in Shanghai under Multi-Subject Participation

摘要: 基于共建共享共治理念，为更好的解决新时代下的“看病难、看病贵”问题，优化多层次医疗保障体系多元共建是大势所趋。本文聚焦微观层面医疗卫生费用报销水平，运用灰色关联分析法对上海市的卫生费用三大支出来源进行分析比较。在此基础上，以政府、市场、社会三个主体为主要切入点，力求从多元主体共同参与的新视角下为上海市医疗卫生费用筹资结构优化提供相关政策建议，探讨如何更好的统筹配置医疗资源，对于实现上海市卫生事业可持续发展和更好的为全民进行服务的目标具有重要意义。

Abstract: Based on the concept of co-construction, sharing and co-governance, in order to better solve the problem of “difficult and expensive medical care” in the new era, it is the general trend to optimize the multi-tiered medical security system and co-construction. Focusing on the reimbursement level of medical and health expenses at the micro level, this paper analyzes and compares three major sources of health expenses in Shanghai by using grey correlation analysis method. On this basis, with the government, the market and the society as the main entry point, the paper tries to provide relevant suggestions for the optimization of the financing structure of medical and health costs in Shanghai from the new perspective of the joint participation of multiple subjects, and discusses how to better coordinate the allocation of medical resources, which is of great significance for the realization of the sustainable development of Shanghai’s health cause and better service for the whole people.