昆明市统筹城乡居民基本医疗保险制度可持续发展研究

发布时间：2018-03-25 08:53

本文选题：昆明市统筹城乡居民医疗保险　切入点：可持续发展　出处：《云南大学》2015年硕士论文

【摘要】：随着我国经济、社会的发展,城乡之间的差距越来越大,城乡分割的二元医疗保障模式日益成为城乡一体化道路上的障碍之一,违背了医疗保障制度公平的原则；城镇居民基本医疗保险和新型农村合作医疗分别由人力资源和社会保障部和卫生部门进行管理,存在机构职能重叠、交叉,资源浪费等现象；与此同时,由于管理机构分设,重复参保的问题也屡见不鲜,同时进一步加大了医保及新农合基金压力。昆明市为解决上述问题的存在,整合“碎片化”的医疗保障制度,逐步实现城乡医疗保障制度“一体化”,体现社会公平、保障并提高民众生活水平,于2013年1月1日开始实行昆明市统筹城乡居民基本医疗保险。该制度从实施至今已有一年余,取得了良好的社会效益,但也存在一些问题。本文结合昆明市统筹城乡居民基本医疗保险开展的情况,运用制度变迁理论、公共产品理论及福利经济学理论就昆明市统筹城乡居民基本医疗保险如何可持续发展这一课题进行研究。从昆明市统筹城乡居民医疗保险制度产生的背景、发展的过程等方面入手,对其历史沿革等进行回顾,运用文献研究、调查研究及对比研究等方法对其发展过程中存在的问题、影响其可持续发展的因素等进行探讨、分析。并在分析、借鉴、总结、归纳国内外经验全民医保实施经验的基础上结合当前实际情况对昆明市统筹城乡居民基本医疗保险制度可持续发展提出改革思路和政策建议,以供相关部门在推动昆明市统筹城乡医疗体系发展举措时参考,进一步提升政策执行效果,为全面建设全民医保尽力。
[Abstract]:With the development of our economy and society, the gap between urban and rural areas is increasing. The dual medical security model of urban-rural segmentation has become one of the obstacles on the road of urban-rural integration, which violates the principle of fair medical security system. The basic medical insurance for urban residents and the new rural cooperative medical scheme are managed by the Ministry of Human Resources and Social Security and the Ministry of Health respectively. There are overlapping, overlapping, and wasting of resources among institutions; at the same time, due to the establishment of separate management agencies, The problem of repeated participation in insurance is also common, and it has further increased the pressure on health insurance and the New Rural Cooperation Fund. To solve the above problems, Kunming has integrated a "fragmented" medical security system. Gradually realizing the "integration" of the urban and rural medical security system, reflecting social equity and ensuring and improving the living standards of the people, Kunming has been implementing basic medical insurance for urban and rural residents as a whole since January 1, 2013. The system has been implemented for more than a year since its implementation. Good social benefits have been achieved, but there are still some problems. This paper applies the theory of institutional change to Kunming to coordinate the development of basic medical insurance for urban and rural residents. The theory of public goods and the theory of welfare economics study on how to plan the sustainable development of basic medical insurance for urban and rural residents in Kunming. Starting with the process of its development, this paper reviews its historical evolution, and discusses the problems existing in its development process and the factors affecting its sustainable development by means of literature research, investigation and comparative study, etc. On the basis of analyzing, drawing lessons from, summing up and summing up the experience of implementing universal medical insurance at home and abroad, this paper puts forward some reform ideas and policy suggestions on the sustainable development of basic medical insurance system for urban and rural residents in Kunming on the basis of the current actual situation. In order to provide a reference for relevant departments to promote the development of urban and rural health care system in Kunming, further improve the implementation of the policy, for the overall construction of health insurance for all.
【学位授予单位】：云南大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：F842.684;R197.1

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