通讯作者: 李超凡, lcfan@sdu.edu.cn

DOI：10.12201/bmr.202301.00009

Research on Infertility Health Expenditure Financing Policy under the Background of Active Fertility Support: Based on international comparison

• 摘要：积极生育支持是我国促进人口长期均衡发展的重要战略举措。国际经验表明，为不孕不育患者提供经济支持是提高生育水平的有效措施。本文基于全民健康覆盖框架，从人群覆盖广度、服务覆盖宽度和费用覆盖深度三个维度，比较了12个国家的不孕不育医疗保障政策异同与效果。为全面构建积极生育支持体系，应针对我国不孕不育高发、医疗费用高昂的社会人口问题，借鉴国际经验，完善不孕不育医疗保障顶层设计，构建多层次保障体系，明确覆盖患者的纳入标准，动态调整医疗服务清单，综合考虑政策目标、筹资能力和患者需求等因素科学制定适宜费用保障水平，多元协同为不孕不育患者提供充分经济支持，推动实现适度生育水平。

  关键词： 不孕不育；医疗保障；积极生育支持；全民健康覆盖；国际比较; ; ; ; 

   

  Abstract: Fertility support system is an important strategic measure to promote the long-term balanced development of population in China. International experience indicates that providing economic support for infertility patients is an effective measure to improve fertility level. Based on the conceptual framework of Universal Health Coverage (UHC), the policy text analysis and international comparative research were conducted to compare the differences and effects of infertility health insurance policies across 12 countries. The policy comparative was conducted from three dimensions: population coverage, service coverage, and cost coverage. Several policy implicates could be obtained from international experience: to achieve the population development goals, the government should implemented active fertility support policies, such as: (1) constructing holistic framework of infertility health insurance policy, establishing diversified multi-level security system, (2) clarifying coverage criteria, (3) drafting and dynamically rectifying coverage list in China, (4) making the appropriate reimbursement level considering factors such as policy objectives, the ability of affordability and patient demand. In all words, multiple cooperation and active economic support for infertility patients should be provide to realize moderate fertility level.

  Key words: infertility; health insurance; active fertility support; ?Universal Health Coverage; international experience

  提交时间：2023-01-18

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2022-09-13	10.12201/bmr.202301.00009V1	下载

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