大学生医疗保险改革成效研究
发布时间：2019-02-18 21:17
【摘要】：十七大报告明确提出，将人人享有基本卫生服务作为全面建设小康社会的重要目标。大学生作为国家实施人才战略的重要载体，其健康备受关注，国务院于2008年对大学生所享有的医疗保险做了调整，将其纳入城镇居民基本医疗保险的试点范围。在国家相关政策的指导下，地方政府开始逐步落实大学生医疗保险改革工作，其改革探索取得了不少成绩，但仍然存在不少困难，现阶段有必要对其成效进行客观分析。 文章回顾了大学生医疗保险改革历程，对大学生公费医疗保险阶段、大学生商业医疗保险阶段进行阐述，并给予政策评价，重点分析第三阶段——将大学生纳入城镇居民基本医疗保险阶段。接下来以安徽高校大学生医疗保险作为实证，科学的选择理论和研究方法，对安徽高校大学生医疗保险改革效果进行分析，总结出大学生医疗保险改革的成效。成果主要体现在形成了大学生医改的新机制，较为妥善的解决了公费医疗和商业医疗遗留的问题，扩大了医疗保险基金的统筹范围，提升了医疗服务质量；存在的问题主要有宣传力度较低影响了医改的有效落实，医疗费用报销的起付线偏高并且封顶线较低，医药费用报销程序繁杂，部分医疗服务质量满意度较低。通过国际比较，进一步解析不同国家间大学生医疗保险方面的制度，从而更客观的对我国现阶段大学生医疗保险制度改革成效做出评价。最后，针对现行大学生医疗保险存在的问题，文章从宣传力度、政府、医疗服务质量、医药费用报销等角度着手，，提出未来一个阶段内提升大学生医疗保险改革成效的对策。 通过对大学生医疗保险改革成效的分析，可以检验大学生医疗改革方案的有效性，为建立起大学生医疗可持续发展的长效机制提供科学的参考依据，为进一步深化我国大学生医疗体制改革提供理论参考，为创新和完善大学生医疗保险政策和制度提供了实证依据和启示，有利于构建与建设现代化大学相配套的医疗制度和服务体系。
[Abstract]:The report of the Seventeenth National Congress clearly put forward that the basic health service for all should be regarded as the important goal of building a well-off society in an all-round way. As an important carrier of national talent strategy, college students' health has been concerned. In 2008, the State Council adjusted the medical insurance for college students and brought it into the pilot range of basic medical insurance for urban residents. Under the guidance of the relevant national policies, the local government began to carry out the reform of medical insurance for college students step by step. Its reform has made a lot of achievements, but there are still many difficulties, so it is necessary to carry out an objective analysis of its effect at the present stage. This paper reviews the reform process of medical insurance of college students, expounds the stage of public medical insurance and commercial medical insurance of college students, and gives policy evaluation. Focus on the third stage-to bring college students into the stage of basic medical insurance for urban residents. Then taking Anhui college students medical insurance as an empirical, scientific choice theory and research methods, this paper analyzes the effect of Anhui college students medical insurance reform, and summarizes the effectiveness of college students medical insurance reform. The results are mainly reflected in the formation of a new mechanism of medical reform for college students, the better solution to the problems left over by public medical treatment and commercial medical treatment, the expansion of the overall scope of medical insurance funds, and the improvement of the quality of medical services; The main problems are that the low propaganda affects the effective implementation of the medical reform, the starting line of medical expense reimbursement is high and the top line is low, the medical expense reimbursement procedure is complicated, and the quality satisfaction of some medical services is low. Through the international comparison, the author further analyzes the medical insurance system of college students in different countries, so as to evaluate the effectiveness of the reform of the medical insurance system of college students in our country more objectively. Finally, aiming at the problems existing in the current medical insurance for college students, the article puts forward some countermeasures to improve the effectiveness of medical insurance reform in the future from the aspects of propaganda, government, medical service quality, medical expense reimbursement and so on. Through the analysis of the effectiveness of the medical insurance reform for college students, we can test the effectiveness of the medical reform scheme for college students, and provide a scientific reference for the establishment of a long-term mechanism for the sustainable development of medical care for college students. It provides theoretical reference for further deepening the reform of medical system of college students in China, and provides empirical basis and inspiration for innovation and perfection of medical insurance policy and system for college students. It is beneficial to the construction of medical system and service system of modern universities.
【学位授予单位】：上海工程技术大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：G647;F842.6
本文编号：2426220
[Abstract]:The report of the Seventeenth National Congress clearly put forward that the basic health service for all should be regarded as the important goal of building a well-off society in an all-round way. As an important carrier of national talent strategy, college students' health has been concerned. In 2008, the State Council adjusted the medical insurance for college students and brought it into the pilot range of basic medical insurance for urban residents. Under the guidance of the relevant national policies, the local government began to carry out the reform of medical insurance for college students step by step. Its reform has made a lot of achievements, but there are still many difficulties, so it is necessary to carry out an objective analysis of its effect at the present stage. This paper reviews the reform process of medical insurance of college students, expounds the stage of public medical insurance and commercial medical insurance of college students, and gives policy evaluation. Focus on the third stage-to bring college students into the stage of basic medical insurance for urban residents. Then taking Anhui college students medical insurance as an empirical, scientific choice theory and research methods, this paper analyzes the effect of Anhui college students medical insurance reform, and summarizes the effectiveness of college students medical insurance reform. The results are mainly reflected in the formation of a new mechanism of medical reform for college students, the better solution to the problems left over by public medical treatment and commercial medical treatment, the expansion of the overall scope of medical insurance funds, and the improvement of the quality of medical services; The main problems are that the low propaganda affects the effective implementation of the medical reform, the starting line of medical expense reimbursement is high and the top line is low, the medical expense reimbursement procedure is complicated, and the quality satisfaction of some medical services is low. Through the international comparison, the author further analyzes the medical insurance system of college students in different countries, so as to evaluate the effectiveness of the reform of the medical insurance system of college students in our country more objectively. Finally, aiming at the problems existing in the current medical insurance for college students, the article puts forward some countermeasures to improve the effectiveness of medical insurance reform in the future from the aspects of propaganda, government, medical service quality, medical expense reimbursement and so on. Through the analysis of the effectiveness of the medical insurance reform for college students, we can test the effectiveness of the medical reform scheme for college students, and provide a scientific reference for the establishment of a long-term mechanism for the sustainable development of medical care for college students. It provides theoretical reference for further deepening the reform of medical system of college students in China, and provides empirical basis and inspiration for innovation and perfection of medical insurance policy and system for college students. It is beneficial to the construction of medical system and service system of modern universities.
【学位授予单位】：上海工程技术大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：G647;F842.6
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