王宏梅 萧家芳 马敬

[摘要] 因病致贫、因病返贫是我国居民贫困的主要原因，健康扶贫工程实施的成败，不仅事关我国能否打赢脱贫攻坚战，也是推进健康中国的关键性环节，更是关系着全面建成小康社会目标的实现。党中央、国务院对健康扶贫工程做出了一系列部署，明确提出要增强健康扶贫的精准度，应发挥医疗保障的反贫困作用。十九大报告中重点强调了全民参保登记的重要性，要求各个地区积极推进全民参保计划，为群众提供更为优质的社会保障服务。基于此，该文对全民参保登记在健康扶贫中的基础性作用进行分析，从其作用内涵入手，阐述作用发挥的有效对策，切实推进健康扶贫工作，提升社会保障工作的全面性。

[关键词] 参保;健康扶贫;全面建成小康社会;社会保障;登记工作;数据质量

[Abstract] Poverty due to illness and returning to poverty due to illness are the main reasons for the poverty of our residents. The success or failure of the implementation of health poverty alleviation projects is not only related to whether China can win the battle against poverty， but also a key link to promote healthy China and the realization of the goal of building a well-off society. The Party Central Committee and the State Council have made a series of deployments to the health poverty alleviation project， and explicitly proposed that the accuracy of health poverty alleviation should be enhanced and the anti-poverty role of medical security should be brought into play. The report of the 19th National Congress of the CPC emphasized the importance of universal participation registration， requiring all regions to actively promote the universal participation insurance plan and provide the masses with better social security services. Based on this， this article analyzes the basic role of universal insurance registration in health poverty alleviation， starting from its role connotation， elaborating effective countermeasures to play its role， effectively promoting health poverty alleviation work， and improving the comprehensiveness of social security work.

[Key words] Insurance; Health; Poverty alleviation; Building a well-off society in an all-round way; Social security; Registration; Data quality

随着我国国民经济的持续发展，党中央和国务院倡导要让更多的人民群众享受到社会发展成果，要高度重视保障人民的基本权益，提出要建立更加公平及可持续的社会保障制度。人社部积极响应这一号召，启动了全民参保登记计划专项行动[1]，对社会各类群体成员的参保情况进行统计。政府部门和社保局通过信息比对、入户调查、数据集中管理和动态及时更新等方式，从而有效推进职工和城乡居民持续、全面参保工作[2]。全民参保登记工作是开展全民参保计划的基础[3]，可以实现区域贫困人员的有效统计，引导贫困人员参与社会保险，有助于社会保障体系的完善及拓展[4]，将其从传统的制度全覆盖拓展为人员全覆盖，为社会群众提供更為全面和优质的社会保障服务，有助于精准健康扶贫工作的有效推进[5]。……