我国城镇医疗保险体系公平性研究

发布时间：2018-02-02 22:59

本文关键词： 城镇医疗保险体系公平性　出处：《中国海洋大学》2013年硕士论文　论文类型：学位论文

【摘要】：解决人民看病难、看病贵的问题,让基本的医疗服务惠及每个公民,是我国社会主义优越性的基本特征之一。医疗保险可以有效地实现医疗资金的有效配置,从而使社会主义的这一优越性得到充分展现。在医疗保险中,每个人都享受平等就医的机会,其中的核心理念是大家共同来分担疾病的风险度。医疗保险具有公平性,这体现在无论居民的地位高低、收入水平怎样,只要纳入医疗保险的范围就都享受同等的医疗服务,这取决于其自身的需要。现阶段的医疗保险是根据居民的收入水平、支付能力,在治病中根据医疗的需要进行相关分配。城镇医疗保险提到的公平性与劳保公费医疗相比有了很大的提高。我国已形成日渐完善的城镇医疗保险体系,自试点建立以来,已经有十四年的历史。在发展过程中,我国城镇医疗保险体系遇到了很多问题,由于医疗保险体系的宗旨及性质的特殊性,这些问题大多是关于其公平性的。所以为了使我国的城镇医疗保险体系不断完善,我们很有必要对其公平性遇到的问题进行研究。首先就要弄清楚公平的概念及定位,确定好公平标尺的标准,然后按照这些定位与标准去衡量我国城镇医疗保险体系在实际运行过程中的不公平性现象,然后通过分析研究,找出解决的办法,从而实现我国城镇医疗保险体系的持续健康发展。对我国城镇医疗保险体系公平性的相关内容、概念以及研究意义进行阐述,是为了更好地对我国城镇医疗保险体系的公平性进行深入研究。采用的分析理论支撑是正义分配理论,以此作为公平性的衡量标准,首先对城镇医疗保险体系进行了定性的理论分析,继而运用相关数据对我国城镇医疗保险体系的公平性现状和其存在的原因和问题进行定量分析,进一步探究其与理论的公平性的差距。为了更清晰的将形成这些差距的原因讲清楚,作者从医疗保险体系的运营管理,以及社会经济和体制上进行了进一步的深层次探究。在对我国城镇医疗保险体系公平性的概念、内容、现状及产生问题的原因进行了详细阐述与研究之后,从作者的角度提出了一些应对当前城镇医疗保险体系中不公平现象的建议和措施,这些建议和措施涵盖了从国家社会大的层面到我国城镇医疗保险体系自身这个小的层面的多个细节问题,希望能为推进我国城镇医疗保险体系公平性的持续、稳定、健康发展起到一定的作用。综上所述,作者通过对我国城镇医疗保险体系进行系统全面的研究,并提供了一些国家社会层面和城镇医疗保险体系自身层面的建议和措施,最终目的就是为了促进我国城镇医疗保险体系不断健全和完善,充分展现出社会主义制度下医疗保险体系的优越性,对树立和创造医保面前人人平等的社会风尚奠定了坚实的社会基础。
[Abstract]:It is one of the basic characteristics of the socialist superiority of our country to solve the problem of difficult and expensive medical treatment for the people, so that the basic medical services can benefit every citizen. Medical insurance can effectively realize the effective allocation of medical funds. So that this superiority of socialism is fully demonstrated. In health insurance, everyone enjoys equal access to health care, the core of which is to share the risk of disease. Health insurance is fair. This is reflected in the fact that, regardless of the residents' status and income level, they all enjoy the same medical services as long as they are included in the scope of medical insurance. This depends on their own needs. At the present stage, medical insurance is based on the income level of the residents. The ability to pay has been allocated according to the need of medical treatment. The fairness mentioned in urban medical insurance has been greatly improved compared with the public health care of labor insurance. China has formed an increasingly perfect urban medical insurance system. Since the establishment of the pilot project, there have been 14 years of history. In the course of its development, China's urban medical insurance system has encountered many problems, due to the particularity of the purpose and nature of the medical insurance system. Most of these problems are about fairness. So in order to make our country's urban medical insurance system perfect, it is necessary for us to study the problem of fairness. First of all, we need to find out the concept and orientation of fairness. To determine the standard of fair scale, then according to these positioning and standards to measure the unfairness phenomenon in the actual operation of the urban medical insurance system in our country, and then through analysis and research, to find out the solution. In order to realize the sustainable and healthy development of the urban medical insurance system in China. This paper expounds the content, concept and significance of the equity of urban medical insurance system in China. In order to better study the equity of the urban medical insurance system in China, the analysis theory is supported by the theory of justice distribution, which is regarded as the standard of fairness. First of all, the qualitative theoretical analysis of the urban medical insurance system is carried out, and then the equity of the urban medical insurance system in China is analyzed quantitatively by using the relevant data, and the reasons and problems existing in the system are analyzed quantitatively. To clarify the reasons for these gaps, the author begins with the operational management of the health insurance system. And further research on the social economy and the system. After the concept, content, current situation and the causes of the problems of the urban medical insurance system in China are elaborated and studied in detail. From the author's point of view, the author puts forward some suggestions and measures to deal with the unfair phenomenon in the current urban medical insurance system. These suggestions and measures cover a number of detailed issues from the larger level of the national society to the small level of the urban medical insurance system itself, hoping to promote the sustainability and stability of the equity of the urban medical insurance system in China. Healthy development plays a role. To sum up, the author makes a systematic and comprehensive study of the urban medical insurance system in China, and provides some suggestions and measures on the social level of some countries and the level of the urban medical insurance system itself. The ultimate purpose is to promote the continuous improvement and perfection of the urban medical insurance system in China, and to fully demonstrate the superiority of the medical insurance system under the socialist system. It has laid a solid social foundation for the establishment and creation of the social ethos of equality before health insurance.
【学位授予单位】：中国海洋大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：F842.684

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