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经济收入的预算约束和社会状况的客观制约使国民在健康风险冲击下面临着健康风险的转移和分担,需要社会群体的理性合作行为共担健康风险与责任,形成了医疗保障的全民合作关系。建立基于个体生命周期内与社会群体间动态筹资以及风险共担的医疗保障筹资体系,设计合理的全民医保动态缴费机制与筹资策略,是促进全民医保持续发展和健康公平的保障。
The budget constraint of economic income and the objective restriction of social conditions make the citizens face the transfer and sharing of health risks under the impact of health risks. They need the rational cooperative behavior of social groups to share the risks and responsibilities of health and form the all-people cooperative relationship of medical security. The establishment of a health care financing system based on dynamic funding and risk sharing within individual life cycle with social groups and a rational design of universal payment mechanism and financing strategy for universal health insurance are the guarantees for sustained development of universal health care and healthy and fair.