Analysis on the Situation and Effect of Medical Assistance in Shanghai in 2015

doi:10.7664/CHE20171108

Abstract：Objective:To summarize the basic medical insurance,the supplementary insurance,the actual medical burden on medical assistance and the assistance implementation effects.Methods:Using the data of Shanghai Civil Affairs Bureau to analyze the burden of medical expenses,the effect of medical assistance and the occurrence of catastrophic health expenditure.Results:In 2015,the per capita medical expense of medical assistance in Shanghai was 17 344 yuan,and the patient co-payment accounted for about 27.37％ of the total medical expenses.The amount of per capita medical assistant was 2 276 yuan,13.12％ of co-payment decreased.The proportion of catastrophic health expenditure before medical assistant was 36.23％ and reduced to 25.09％ after the assistance.Conclusion:The medical assistance was effective in reducing the co-payment and catastrophic proportion in Shanghai,but the medical assistant differed among different population groups.It was suggested all objective of medical assistant should be full covered by basic medical insurance,enhanced the convergence of medical assistant with the basic medical insurance,implemented the matching of basic medical insurance system and improved the level of medical assistant.