泉州市生育医疗保险制度整合研究

发布时间：2018-04-24 10:16

本文选题：泉州 + 生育保险　；参考：《华侨大学》2013年硕士论文

【摘要】：生育保险是社会保险的一个重要组成部分，新中国生育保险制度自1951年创设以来，经过多年的探索和改革实践，取得了一定的成绩。伴随着生育体制改革的深入，一些深层次的问题，，如立法层次低、覆盖面较窄、企业负担较重、积累率偏高等问题一直未能解决。本文跳出单纯研究生育保险的思维框架，在分析泉州实际情况的基础上，通过对泉州市医疗保险的对比研究，并借鉴其他地市的先进经验，提出了整合泉州生育、医疗保险为同一的生育医疗保险的新思路。生育医疗保险的整合，并非简单的将二者合并，本文在研究生育医疗保险合并的必要性、可行性的基础上，以系统论、社会关怀论、公平与效率理论为指导，采用文献研究法、实地调研法以及比较分析法对生育医疗保险整合的模式选择进行分析，提出了生育医疗保险整合的基本原则、路径以及整合的关键举措，即合理确定筹资模式、合理确定管理模式、合理确定定点医疗机构、合理保留和延伸生育保险服务项目。
[Abstract]:Birth insurance is an important part of social insurance. Since the birth insurance system of New China was established in 1951, after many years of exploration and reform practice, it has made certain achievements. With the deepening of the reform of the fertility system, some deep-seated problems, such as low legislative level, narrow coverage, heavy burden on enterprises and high accumulation rate, have not been solved. Based on the analysis of the actual situation of Quanzhou, this paper puts forward the integration of Quanzhou fertility through the comparative study of Quanzhou medical insurance and drawing on the advanced experience of other cities. Medical insurance is a new idea of the same maternity medical insurance. The integration of maternity medical insurance is not a simple combination of the two. On the basis of studying the necessity and feasibility of the combination of reproductive medical insurance, this paper, guided by system theory, social care theory, fairness and efficiency theory, adopts the literature research method. Field investigation and comparative analysis are used to analyze the mode selection of maternity medical insurance integration, and the basic principles, paths and key measures of the integration are put forward, that is, to reasonably determine the financing model. Rational determination of management mode, rational determination of designated medical institutions, reasonable retention and extension of maternity insurance services.
【学位授予单位】：华侨大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：F842.617

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