关键词: 基本医疗保险, 制度整合, 东莞经验

Abstract: To promote the integration of the medical insurance systems is the basic way to ensure the residents' equal rights of health, to realize the fairness of the basic medical insurance, and to attain the sustainable development. It is also the inexorable trend of the development of the basic medical insurance in China. It has been more than ten years since the integration of the three kinds of medical insurances was implemented in Dongguan. The new system has been running smoothly and is achieving remarkable success. Based on the data of the twenty year development of the basic medical insurance system in Dongguan and the statistical yearbook, this paper analyzes the practical experiences of Dongguan's integration of the three kings of medical insurances from the aspects of economic development, population structure and system design; then it puts forward the principles and policy suggestions for the integration of the basic medical insurance systems. The integration of the basic medical insurances in China should be realized gradually under the principles of suiting measures to local conditions, making differential sharing of financial subsidies, paying attention to fairness and conforming to“Pareto improvement”, by transiting from the integration of the two kinds of basic medical insurances into the integration of the three basic medical insurances and gradually achieving the overall planning at the provincial level, a unified national health insurance system will finally be established.

Key words: basic medical insurance, system integration, experience of Dongguan