沈阳市城镇儿童医疗保险给付水平研究

发布时间：2018-03-08 04:12

本文选题：医疗保险　切入点：城镇儿童　出处：《辽宁大学》2013年硕士论文　论文类型：学位论文

【摘要】：我国儿童数量占全国人口总数将近三分之一，儿童不仅是祖国的未来和希望，也是家庭和社会的未来和希望，在我国以计划生育为基本国策的背景下和家庭结构日益核心化的今天备受关注。但由于医疗保障制度的缺失或不足，自从新中国建国以来儿童这一特殊群体的医疗保障都稍显不足。自从2007年城镇居民基本医疗保险制度建立以来，我国的儿童医疗保险制度取得了很好的效果，但是还是存在一些不尽人意的地方。并且我国普遍存在着城镇儿童医疗保险给付水平低、保障范围窄的问题。由于给付水平低导致的因病致贫、因病返贫现象仍然存在。本文分析了沈阳市城镇儿童医疗保险的现状和存在的问题，找出产生问题的原因。在此基础上设计了沈阳市城镇儿童医疗保险给付水平的调查问卷，测算出沈阳市城镇儿童医疗保险给付水平的适度区间。结合国内外城镇儿童医疗保险给付的成功经验，为沈阳市政府相关部门适当提高儿童医疗保险给付水平提出政策建议与实证依据。本文主要分为五章，具体内容如下：第一章介绍了城镇儿童医疗保险相关概念和基础理论。本章节着重对研究中需要使用的几个重要概念进行了内涵和外延的界定，，同时对儿童福利理论、公平理论、变迁理论和社会风险理论等相关基础理论进行了论述。第二章通过查阅权威数据等研究方法，分析了沈阳市城镇儿童医疗保险存在的问题以及产生这些问题的原因。第三章对国内外儿童医疗保险给付进行了比较分析并从中得出了一些启示。重点对比了一些国外典型国家的儿童医疗给付水平。对国内儿童医疗保险改革比较早的城市也进行了具体的分析。第四章通过沈阳市城镇儿童医疗保险的给付水平的调查问卷，结合医疗保险给付水平的公式，测算出沈阳市城镇儿童医疗保险适度给付水平的上下限。第五章结论部分。得出了沈阳市城镇儿童医疗保险给付水平还有待提高的结论。并提出了相关的政策建议。
[Abstract]:The number of children in our country accounts for nearly 1/3 of the country's population. Children are not only the future and hope of the motherland, but also the future and hope of the family and society. Under the background of taking family planning as the basic national policy in our country and with the family structure becoming increasingly central today, much attention has been paid to it. However, due to the absence or insufficiency of the medical security system, Since the founding of the people's Republic of China, the medical security of this special group of children has been slightly inadequate. Since the establishment of the basic medical insurance system for urban residents in 2007, China's child medical insurance system has achieved very good results. However, there are still some unsatisfactory problems in our country, such as the low level of urban children's medical insurance payment and the narrow scope of guarantee. The phenomenon of returning to poverty due to illness caused by low level of payment is still existing. This paper analyzes the present situation and existing problems of urban children's medical insurance in Shenyang, finds out the causes of the problems, and designs a questionnaire on the payment level of Shenyang's urban children's medical insurance. According to the successful experience of urban children's medical insurance at home and abroad, this paper calculates the appropriate interval of the level of children's medical insurance payment in Shenyang, and combines the successful experience of urban children's medical insurance at home and abroad. This paper puts forward some policy suggestions and empirical evidence for the relevant departments of Shenyang Municipal Government to improve the level of children's medical insurance payment. This paper is divided into five chapters, the specific contents are as follows:. The first chapter introduces the related concepts and basic theories of urban children's medical insurance. This chapter focuses on the definition and extension of several important concepts that need to be used in the study, and at the same time, defines the theory of child welfare, the theory of fairness, Transition theory and social risk theory and other related basic theories are discussed. The second chapter analyzes the problems and causes of children's medical insurance in Shenyang by consulting authoritative data and other research methods. The third chapter makes a comparative analysis of children's medical insurance benefits at home and abroad and draws some enlightenments from them. The emphasis is on comparing the levels of child medical benefits in some typical foreign countries. A comparison of the reform of children's medical insurance at home and abroad. Early cities also carried out specific analysis. The 4th chapter calculates the upper and lower limits of the appropriate level of medical insurance for children in Shenyang through the questionnaire of the level of payment of medical insurance for children in Shenyang and the formula of the level of payment of medical insurance. The conclusion of the 5th chapter draws the conclusion that the level of children's medical insurance benefits in Shenyang needs to be improved, and puts forward some relevant policy suggestions.
【学位授予单位】：辽宁大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：F842.684

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