城镇居民医疗保险与新型农村合作医疗的并轨研究

发布时间：2019-02-16 00:11

【摘要】：伴随着我国综合实力持续不断增强,人民的物质生活情况获得了显著地改善,基本医疗保险特别是城乡居民基本医疗保险制度的实施和推广逐渐成为了大家关注的焦点。然而,由于目前医疗卫生资源配置不均衡,城市化进程和户籍制度等因素的影响,城镇居民医疗保险和新型农村合作医疗之间有着不小的差异,且城乡居民存在重复参保或者漏保的现象。这不仅加大了财政压力,而且也在一定程度上与实施全民医保制度背道而驰。本文基于对城镇居民医疗保险和新型农村合作医疗制度差别的研究,分析出两者的共性并以此出发,以期实现两种基本医疗保险制度的并轨。以N市城镇居民医疗保险和新型农村合作医疗制度合并为例,对其合并过程中的具体做法和可能出现的问题进行分析,旨在为全国建立并且完善城乡居民基本医疗保险制度提供借鉴。在我国目前发展的政治经济环境下,城镇居民医疗保险和新型农村合作医疗制度的一体化整合,对打破各种人群彼此间地区和户籍限定,降低城乡居民医疗保险差异等方面意义重大。切实加快医疗保险的一体化进程,也是顺应市场经济发展的要求,有利于市场经济配套制度的建设,同样有利于中国积极应对老龄化带来的困境与挑战。笔者在N市人力资源和社会保障局实习了半年的时间,真实地了解并掌握了有关N市城镇居民医疗保险和新型农村合作医疗制度衔接整合的具体做法、基本情况和第一手资料。故从N市并轨的实际情况出发,介绍实际做法,为城镇居民医疗保险和新农合的并轨提供有效的借鉴,对整合过程中可能出现的问题做到未雨绸缪。本文结合我国城乡居民医疗保险制度的发展历程和现状,借助相关的数理模型测度了城乡居民基本医疗保险的水平,发现了城乡医疗保险水平逐渐缩小的趋势,为全国今后的并轨工作提供了有力依据。
[Abstract]:With the continuous strengthening of the comprehensive strength of our country, the material living conditions of the people have been significantly improved, and the implementation and promotion of basic medical insurance, especially the basic medical insurance system of urban and rural residents, has gradually become the focus of attention. However, due to the unbalanced allocation of medical and health resources, the influence of urbanization process and household registration system, there is no small difference between the medical insurance of urban residents and the new rural cooperative medical system. And urban and rural residents have repeated insurance or the phenomenon of missing protection. This not only increases the financial pressure, but also in part against the implementation of universal health care system. Based on the study of the difference between the urban residents' medical insurance and the new rural cooperative medical insurance system, this paper analyzes the commonness of the two systems and takes them as a starting point, in order to realize the two basic medical insurance systems. Taking the medical insurance of urban residents in N city and the new rural cooperative medical system as an example, this paper analyzes the concrete practices and possible problems in the process of the merger. The aim is to establish and perfect the basic medical insurance system for urban and rural residents. In the current political and economic environment of our country, the integration of the medical insurance of urban residents and the new rural cooperative medical care system has broken the restrictions on the regions and hukou registration of various groups of people. It is of great significance to reduce the difference of medical insurance between urban and rural residents. Speeding up the process of integration of medical insurance is also in accordance with the requirements of the development of market economy, conducive to the construction of a supporting system of market economy, and also conducive to China's active response to the difficulties and challenges brought about by the aging of the population. After six months of practice in N City Human Resources and Social Security Bureau, the author has truly understood and grasped the concrete methods, basic situation and first-hand information about the convergence and integration of medical insurance for urban residents and the new rural cooperative medical system in N city. Therefore, starting from the actual situation of the integration of N city, this paper introduces the actual practice, provides an effective reference for the integration of urban residents' medical insurance and the new agricultural cooperation, and makes good preparations for the problems that may arise in the process of integration. Based on the development of medical insurance system of urban and rural residents in China, this paper measures the level of basic medical insurance of urban and rural residents with the help of relevant mathematical models, and finds that the level of medical insurance in urban and rural areas is gradually shrinking. It provides a strong basis for the future work of railway alignment in the whole country.
【学位授予单位】：南昌大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：F842.684;R197.1

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