河南省在校大学生纳入城镇居民基本医疗保险的现状、问题与对策研究

发布时间：2018-01-12 18:26

本文关键词：河南省在校大学生纳入城镇居民基本医疗保险的现状、问题与对策研究　出处：《河南大学》2012年硕士论文　论文类型：学位论文

【摘要】：河南省始于2009年的新医疗保险制度改革，将在校大学生纳入城镇居民基本医疗保险范围。在以往很长的一段时间里，在校大学生一直享受公费医疗待遇，但是，公费医疗已经无法满足基本的医疗需求。将在校大学生纳入到全民医保的范畴，并覆盖了门诊和住院两个报销项目，对解决高校医疗保险经费紧张有很大的帮助，对解决在校大学生大病救助、实现教育公平和社会福利共享有现实意义。但是，新医改制度在实施的过程中，遇到了很多的问题。比如，新医改制度覆盖了大学生门诊治疗和住院治疗两个项目，但是在门诊检查上没有涵盖诸如CT等重要项目，而这些项目所需花费成本较高，对没有经济来源的大学生而言，这个因素就会导致他们放弃继续诊治；而在大病救治方面，城镇居民基本医疗保险报销额度较低，无法起到很好的救治作用。对大学生而言，在小病诊治和特大病救治方面，需要进一步完善新医改制度，才可以起到更好的效果。要解决这些问题，政府需要完善医疗保险资金运作和指定医疗机构监管工作；高校需要完善在校大学生医疗保险意识的增强和新医改制度宣传动员工作；高校医疗机构需要完善自身的医疗水平以及医院发展方向的转变，并落实自己对在校大学生健康体检和疾病预防工作；在校大学生自己需要提高自身的疾病预防和健康意识，提高参保意识；学生家长需要积极配合学校工作、关注孩子身体和心理健康。参与各方都要明确自身权责，以落实新医改制度的有效实施，，并维护自身利益。在新医改制度之外，商业保险和大病救治基金是对医保制度的有效补充，从医疗资金方面补充居民基本医疗保险制度的缺陷。因此，本文结合河南高校的新医改实施情况，根据对河南部分在校大学生的问卷调查结果，从新医改制度的实施细节方面，找到并分析影响新医改制度实施的问题根源，并提出一些解决方案。
[Abstract]:Henan province began in 2009 with the new medical insurance system reform, college students will be included in the basic medical insurance for urban residents. In the past for a long period of time, students always enjoy free medical care, but public health has been unable to meet the basic medical needs. The college students into the category of universal coverage and coverage the outpatient and inpatient reimbursement of two projects to solve the medical insurance funds in Colleges and universities is of great help to solve college students' serious illness relief, is of practical significance to realize education fairness and social welfare sharing.
However, the new medical care system in the implementation process, encountered a lot of problems. For example, the new medical care system covering college outpatient treatment and hospitalization for two projects, but in the examination, no covering areas such as CT and other important projects, and these projects the cost is high, for there is no source of college students this factor, will lead them to give up treatment; in the treatment of serious illness, the reimbursement amount of basic medical insurance for urban residents is relatively low, can not play the role of good treatment. For college students in the diagnosis and treatment of ailments and ill treatment, the need to further improve the new medical care system, it can play a better effect.
To solve these problems, the government needs to improve the medical insurance fund operation and supervision of designated medical institutions; the need to improve to enhance college students awareness of medical insurance and the new medical care system of propaganda and mobilization work; transformation of university medical institutions need to improve their own direction of development and the level of medical hospital, and carry out the work on College Students' health examination and disease prevention; college students need to improve their awareness of their own health and disease prevention, improve the awareness of insurance; parents need to actively cooperate with the school work, pay attention to the child body and mental health. Participants have to clear their responsibilities, to implement the effective implementation of the new medical care system, and to safeguard their own interests. In addition to the new medical care system. Commercial insurance fund and ill treatment is the effective supplement to the health care system, based on the medical funds supplement residents The defects of the medical insurance system.
Therefore, based on the implementation of the new medical reform in Henan's colleges and universities, and according to the questionnaire survey results of some college students in Henan, this paper finds and analyzes the root causes of the problems in the implementation of the new medical reform system from the details of implementation of the new medical reform system, and puts forward some solutions.

【学位授予单位】：河南大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：D632.1;G645.5;R197.1

【引证文献】