上海市城乡居民基本医疗保险制度整合研究

发布时间：2017-12-31 10:05

本文关键词：上海市城乡居民基本医疗保险制度整合研究　出处：《上海师范大学》2015年硕士论文　论文类型：学位论文

【摘要】：居民医保实现城乡统筹,是新一轮医改的重要工作之一。2012年,国务院在《关于印发“十二五”期间深化医药卫生体制改革规划暨实施方案的通知》中提出“有条件的地区要探索建立城乡统筹的居民基本医疗保险制度”。作为本市城乡发展一体化的重要工作之一,市委、市政府在《关于推动新型城镇化建设促进本市城乡发展一体化若干意见》中也明确要求“实施城乡居民统一的基本医疗保险制度”。上海作为在全国在医疗保险方面一直处于领头地位的直辖市,在城乡居民基本医疗保险制度整合方面却由于种种原因一直未展开。近两年来上海市政府终于下定决心准备开展整合城乡居民的医疗保险制度这一项工作并展开了一系列先期调研工作。在调研和后期的分析中发现了在上海市整合城乡居民的医疗保险制度并不是简单地把新农合人群直接并入现有城镇居民基本医疗保险就能解决的问题,两个险种存在的筹资水平差异,支付补偿水平差异以及开展此项工作和今后负责此项工作的职能部门还未明确等问题都将是今后在政策制定方面必须全方面考虑统筹的。本文就将此次调研结合国内外先例及上海市医保制度的实际情况对这些问题提出解决的方案。
[Abstract]:The realization of the urban and rural residents medical insurance, a new round of reform is an important part of the work of.2012, the State Council issued the "12th Five-Year" in "during the period of deepening the reform of medical care system planning and implementation plan notification on the proposed" conditional region to explore the establishment of urban and rural residents in the basic medical insurance system ". As one of the most important. The integration of urban and rural development work of the municipal Party committee, municipal government in" on promoting the construction of new urbanization to promote the integration of the urban and rural development in a number of opinions > also explicitly require implementation of the "unified urban and rural residents in the basic medical insurance system in the country. Shanghai is in the medical insurance has been in a leading position in the municipalities directly under the central government, the basic medical insurance the system of the integration of urban and rural residents is due to various reasons has not started. In recent years the Shanghai municipal government finally decided to carry out the integration of urban and rural residents In this work the medical insurance system and launched a series of preliminary research work. In the investigation and the analysis found in the integration of urban and rural residents in Shanghai City, the medical insurance system is not simply the new population directly into the current basic medical insurance for urban residents will be able to solve the problem, there are two types of different financing levels the problem of payment of compensation level and carry out the work in the future and is responsible for the work of the functional departments is not clear and so will be the future policy must consider all aspects of planning. This paper will do the research according to the actual situation of the medical insurance system at home and abroad and precedent in Shanghai city and propose solutions to these problems.

【学位授予单位】：上海师范大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：F842.684;R197.1

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