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摩洛哥的卫生筹资与保险改革。

Health financing and insurance reform in Morocco.

作者信息

Ruger Jennifer Prah, Kress Daniel

机构信息

Division of Global Health, Department of Epidemiology and Public Health, School of Medicine, Yale University, New Haven, Connecticut, USA.

出版信息

Health Aff (Millwood). 2007 Jul-Aug;26(4):1009-16. doi: 10.1377/hlthaff.26.4.1009.

Abstract

The government of Morocco approved two reforms in 2005 to expand health insurance coverage. The first is a payroll-based mandatory health insurance plan for public- and formal private-sector employees to extend coverage from the current 16 percent of the population to 30 percent. The second creates a publicly financed fund to cover services for the poor. Both reforms aim to improve access to high-quality care and reduce disparities in access and financing between income groups and between rural and urban dwellers. In this paper we analyze these reforms: the pre-reform debate, benefits covered, financing, administration, and oversight. We also examine prospects and future challenges for implementing the reforms.

摘要

摩洛哥政府于2005年批准了两项改革措施以扩大医疗保险覆盖范围。第一项是为公共部门和正规私营部门雇员设立基于工资的强制性医疗保险计划,将覆盖范围从目前的16%人口扩大到30%。第二项是设立一个公共资助基金,为贫困人口提供服务。这两项改革旨在改善获得高质量医疗服务的机会,并减少不同收入群体以及城乡居民在医疗服务获取和融资方面的差距。在本文中,我们分析这些改革:改革前的争论、涵盖的福利、融资、管理和监督。我们还研究了实施改革的前景和未来挑战。

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