What role can charity play in a multi-level medical security system?

With the continuous development of the economy and society, a universal medical insurance system covering urban and rural areas has been fully established, and the people have system guarantees for medical treatment
.

At present, the protection of medical expenses mainly relies on medical insurance.

1.
Give full play to the supplementary role of charity assistance

1.
Give full play to the supplementary role of charity assistance

As an important part of the multi-level medical security system, charity forces can mobilize social resources to provide various forms of medical assistance and health assistance to the needy people, and weave a health and safety net together with basic medical security and commercial health insurance
.

At the same time, the philanthropic power also has the function of coordinating patients' social relations, platform construction, and information connection, providing supplementary support for building a sense of social security, health and security

Of the total charitable donations over the years, about 20% of charitable resources are invested in the field of medical assistance each year.
These resources are mainly used to provide specific groups with medical material assistance, medical expenses subsidies, self-paid partial subsidies, insurance cost purchase supplements, Relief for special diseases outside the catalogue, on the one hand, fills the gaps in the basic medical security policy in the scope of coverage, and on the other hand, in terms of the level of security, appropriately makes up for the lack of government assistance, and provides more comprehensive and adequate medical security services for the people in need
.

Taking disease assistance as an example, cataracts, childhood congenital heart disease, childhood leukemia, breast cancer, end-stage renal disease, cervical cancer, cleft lip and palate, thalassemia, lung cancer, childhood lymphoma, etc.
, are the types of disease assistance that charitable organizations invest more resources in.
With the efforts of charity organizations, some rare diseases have gradually been included in the vision of charity assistance and have gained social attention and support
.

In addition to playing a supplementary role in the field of medical assistance, charity forces also participate in medical services
.

Some charities try to explore the establishment of affordable charity medical institutions, or designate designated hospitals or departments in the existing medical system to give more public welfare functions; Focus on health culture advocacy, health education, medical care, psychological intervention, etc.

2.
The development of charity assistance still faces some difficulties

2.
The development of charity assistance still faces some difficulties

At present, the collection and use of philanthropic resources are still in the spontaneous growth stage.
The participants are diverse, and the directions of use are also diversified.
Even the resources used in the medical field are distributed in a disorderly manner, lacking systemicity and balance
.

As the main body of social resource mobilization, charitable organizations have the characteristics of fighting on their own and operating in isolated islands; medical aid projects also have a tendency to fundraise as a tool, focusing on fundraising and neglecting the effect, and the tracking and querying mechanism for the use of charity medical aid projects is not sound; Although the selection of medical assistance targets also tends to low-income groups and people in difficulties, the recognition ability and information access channels are insufficient, and the connection with the government and the market in social governance is not enough, resulting in the reuse or waste of charity resources, even because of assistance.

3.
Suggestions

3.
Suggestions

The modernization of social governance is embodied in the field of medical security.
Not only does it require the modernization of medical security governance and the modernization of commercial insurance, but also the modernization of charity medical assistance
.

The goal of modernization is to meet the people's growing concerns and expectations for high-quality medical security

(1) Gradually build a cooperative community in which social forces participate in medical security

(1) Gradually build a cooperative community in which social forces participate in medical security

Charity forces have both platform advantages and resource advantages, as well as organizational advantages.
The diversified exploration of charity forces in the medical field possesses the indispensable characteristics of social governance such as flexibility, fault tolerance, and pioneering.
Therefore, institutional norms and policy incentives should be adopted.
, Guide and support more standardized social organizations represented by charitable organizations to participate in medical services, gradually build a community of social forces to participate in medical security cooperation, form a governance ecological chain, and enable different social organizations to play the main role in different ecological niches To form a batch of good models and good models that can be radiated, demonstrated, and promoted, and maximize the characteristic functions of social forces, so that more people in need can enjoy more adequate medical assistance services and health resources with higher satisfaction.

.

(2) Explore the establishment of a linkage mechanism between medical assistance and charity

(2) Explore the establishment of a linkage mechanism between medical assistance and charity

The coordination of governance bodies is the only way to modernize
.

This requires a down-to-earth study of practical issues, and based on the development of basic medical insurance, critical illness insurance, medical assistance and charity for urban and rural residents, carefully study and design the functional positioning of charity in the multi-level medical security system; Set out to explore the establishment of a linkage mechanism between medical assistance and charity