九江市城乡居民基本医疗保险制度一体化研究

发布时间：2018-04-03 16:54

本文选题：城镇居民医保　切入点：新农合　出处：《江西财经大学》2017年硕士论文

【摘要】：伴随着经济社会的不断发展,我们国家逐渐建立起从企事业单位到个体工商户等灵活就业人员,再到广大城乡居民的,覆盖所有国人的全民医疗保险制度,在制度上实现了全覆盖,初步实现了“人人享有医疗保险”的医改目标。然而,城镇职工医疗保险、新型农村合作医疗保险及城镇居民医疗保险这三种医保制度呈碎片化地各自封闭运行不利于制度的可持续发展,也与我们国家极力倡导的“人人平等”原则背道而驰。随着城乡一体化进程的不断加快和跨区域之间的人口流动,人民要求享受同等医疗保障待遇的呼声日益强烈。当前户籍制度改革实施、城乡居民养老保险并轨等一系列打破城乡二元结构的改革措施出台也为城乡居民医疗保险并轨创造了有利条件。2016年1月,国务院正式出台意见,要求逐步在全国范围内建立起统一的城乡居民医保制度,标志着我国城乡居民医保制度一体化开始进入全面实施阶段。本文首先,立足于国内外研究现状,介绍城乡居民医保一体化相关的基本内涵和二元经济结构理论、公共物品理论等理论基础。然后,运用比较分析、描述性分析、问卷调查等方法介绍近几年九江市城镇居民医疗保险及新农合医疗保险的运行情况。通过十多年的发展,九江市城乡居民医保在实现了“参保覆盖面广、制度保障效果好、参保居民评价高”预期目标的同时,也存在二元割裂、重复参保、保障水平有差异、医疗卫生资源配置不平等的问题。最后,在总结国内东、中、西部试点城市成功经验的基础上,探讨城乡居民医疗一体化的有利条件,并由此得出实施九江市城乡居民医保制度一体化的措施,完善制度、整合经办机构、信息系统建设等。在文章的最后总结部分,得出九江市城乡居民基本医疗保险制度一体化研究的基本结论:当前,九江市城镇居民医疗保险制度和新型农村合作医疗保险制度并轨的外部政治、经济、社会条件和内部制度建设已成熟。九江市宜结合本地区现有制度实施情况,积极稳妥地分阶段、按步骤推进城镇居民医保和新农合整合工作,建立城乡一体化的居民医疗保障体系。
[Abstract]:With the continuous development of economy and society, our country has gradually established a national medical insurance system covering all Chinese people, from enterprises and institutions to individual industrial and commercial households, and to the vast number of urban and rural residents.In the system, full coverage has been realized, and the goal of medical insurance for all has been preliminarily realized.However, the medical insurance of urban workers, the new rural cooperative medical insurance and the medical insurance of urban residents are not conducive to the sustainable development of the system.It also runs counter to the principle of equality of all people, which our country strongly advocates.With the accelerating process of urban-rural integration and the movement of population across regions, people are increasingly demanding equal medical security treatment.The implementation of the current household registration system reform and the introduction of a series of reform measures to break the dual structure of urban and rural residents, such as the combination of urban and rural residents' old-age insurance, has also created favorable conditions for the integration of urban and rural residents' medical insurance. In January 2016, the State Council formally issued its opinion.It is necessary to establish a unified medical insurance system for urban and rural residents in the whole country, which indicates that the integration of the medical insurance system of urban and rural residents in China has entered the stage of comprehensive implementation.Firstly, based on the current research situation at home and abroad, this paper introduces the basic connotation of the integration of urban and rural residents' health insurance, the theory of dual economic structure, the theory of public goods and other theoretical bases.Then, by means of comparative analysis, descriptive analysis and questionnaire survey, this paper introduces the operation of medical insurance for urban residents and new rural cooperative medical insurance in Jiujiang City in recent years.Through more than a decade of development, the urban and rural residents' health insurance in Jiujiang City has achieved the expected goals of "broad coverage of insurance coverage, good effect of system security, and high evaluation of insured residents," but at the same time, there is also a dualistic division, repeated participation in insurance, and difference in the level of security.The unequal allocation of medical and health resources.Finally, on the basis of summing up the successful experience of the pilot cities in the east, middle and west of China, this paper discusses the favorable conditions for the integration of urban and rural residents' medical care, and draws the conclusion that the measures to implement the integration of the medical insurance system of urban and rural residents in Jiujiang City and perfect the system.Integration of agencies, information system construction and so on.In the last part of the article, the author draws the basic conclusion of the research on the integration of the basic medical insurance system of urban and rural residents in Jiujiang: at present, the external politics of the integration of the medical insurance system of urban residents and the new rural cooperative medical insurance system in Jiujiang city,Economic, social conditions and internal system construction have matured.Jiujiang City should actively and steadily promote the integration of urban residents' medical insurance and new rural cooperation in stages according to the implementation of the existing system in this region and establish a urban-rural integrated medical security system for residents.
【学位授予单位】：江西财经大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：F842.684

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