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首页> 外文期刊>The International journal of health planning and management >Progress and policy implication of the Insurance Programs for Catastrophic Diseases in China xmlns='http://www.wiley.com/namespaces/wiley' href='#hpm2431-note-0001'/>
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Progress and policy implication of the Insurance Programs for Catastrophic Diseases in China xmlns='http://www.wiley.com/namespaces/wiley' href='#hpm2431-note-0001'/>

机译：中国灾难性疾病保险方案的进度和政策含义

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Summary >The State Council encouraged the involvement of commercial insurance companies (CICs) in the development of the Insurance Program for Catastrophic Diseases (IPCD), yet its implementation has rarely been reported. We collected literature and policy documentation and conducted interviews in 10 cities with innovative IPCD policies to understand the details of the implementation of IPCD. IPCDs are operated at the prefectural level in 14 provinces, while in 4 municipalities and 6 provinces, unified IPCDs have been implemented at higher levels. The contribution level varied from 5% to 10% of total Basic Medical Insurance (BMI) funds or CNY10‐35 per beneficiary in 2015. IPCD provides an additional 50% to 70% reimbursement rate for the expenses not covered by BMI with various settings in different locations. Two models of CIC operation of IPCD have been identified according to the financial risks shared by CICs. Either the local department of Human Resources and Social Security or a third party performs assessments of the IPCD operation, service quality, and patients' satisfaction. A number of IPCDs have been observed to use 1% to 5% of the funds as a performance‐based payment to the CIC(s). CIC involvement in operating the IPCD raises concerns regarding the security of the information of beneficiaries. Developing appropriate data sharing mechanisms between the local department of Human Resources and Social Security and CICs is still in progress. In conclusion, the IPCD relieves the financial burden on patients by providing further reimbursement, but its benefit package remains limited to the BMI reimbursable list. CICs play an important role in monitoring and supervising health service provision, yet their capacity for actuarial services or risk control is underdeveloped. </abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><Abstract XMLNS =“http://www.wiley.com/namespaces/wiley”type =“main”> <title type =“main”xml：lang =“de”>摘要</ title> >状态理事会鼓励商业保险公司（CICS）参与灾难性疾病的保险计划（IPCD）的发展，但其实施很少报告。我们收集了文学和政策文件，并在10个城市进行了采访，具有创新的IPCD政策，以了解IPCD执行情况。 IPCDS在14个省份的县级经营，而在4个市政当局和6个省份，统一的IPCD已在更高层面实施。 2015年，贡献水平在基本医疗保险总额（BMI）资金的5％至10％之间或每年受益人10-35人。IPCD为BMI未涵盖的费用提供了额外的50％至70％的报销率，其中包括各种设置不同的位置。根据CICS共享的金融风险确定了IPCD的两个CIC操作模型。人力资源和社会保障或第三方的当地部门履行IPCD运营，服务质量和患者满意度的评估。已经观察到许多IPCDS使用1％至5％的资金作为基于CIC的基于绩效的支付。 CIC参与操作IPCD提出了关于受益人信息的安全性的担忧。在人力资源和社会保障和CICS之间制定适当的数据共享机制仍在进行中。总之，IPCD通过提供进一步报销，减轻了患者的财务负担，但其福利包仍然仅限于BMI可报销的名单。 CICS在监测和监督卫生服务条款方面发挥着重要作用，但它们的精算服务或风险控制的能力不发达。</ p> </摘要> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-30709/'>《The International journal of health planning and management》</a> <b style="margin: 0 2px;">|</b><span>2017年第3期</span><b style="margin: 0 2px;">|</b><span>共8页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Mao Wenhui&option=202" target="_blank" rel="nofollow">Mao Wenhui;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Zhang Luying&option=202" target="_blank" rel="nofollow">Zhang Luying;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Chen Wen&option=202" target="_blank" rel="nofollow">Chen Wen;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> <p>School of Public HealthFudan UniversityShanghai China;</p> <p>School of Public HealthFudan UniversityShanghai China;</p> <p>School of Public HealthFudan UniversityShanghai China;</p> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span><a href="https://www.zhangqiaokeyan.com/clc/191.html" title="预防医学、卫生学">预防医学、卫生学;</a></span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=commercial insurance company&option=203" rel="nofollow">commercial insurance company;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=financial protection&option=203" rel="nofollow">financial protection;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=impoverishment&option=203" rel="nofollow">impoverishment;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=insurance programs for catastrophic diseases&option=203" rel="nofollow">insurance programs for catastrophic diseases;</a> </p> <div class="translation"> 机译：商业保险公司;财务保护;贫困;灾难性疾病的保险计划; </div> </li> </ul> </div> </div> <div class="literature cardcommon"> <div class="similarity "> <h3 class="all_title" id="enpatent66">相似文献</h3> <div class="similaritytab clearfix"> <ul> <li class="active" >外文文献</li> </ul> </div> <div class="similarity_details"> <ul > <li> <div> <b>1. </b><a class="enjiyixqcontent" href="/journal-foreign-detail/0704024792795.html">Progress and policy implication of the Insurance Programs for Catastrophic Diseases in China xmlns="http://www.wiley.com/namespaces/wiley" href="#hpm2431-note-0001"/></a> <b>[J]</b> . <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Mao Wenhui&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Mao Wenhui,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Zhang Luying&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">Zhang Luying,</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Chen Wen&option=202" 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