完善我国生育保障体系的研究

发布时间：2018-05-18 00:03

本文选题：生育保障体系 + 生育保险待遇　；参考：《天津财经大学》2014年硕士论文

【摘要】：从世界范围中来看,与人们息息相关的社会保障是随着生产力的发展而逐步产生和发展起来的,各国的生育保险是社会保障制度体系中的重要部分。孕产妇生育是对人类繁衍及生产力创造以及社会进步的巨大贡献。世界各国都十分重视生育制度和生育保障体系的发展与完善。到目前为止,全世界大部分地区都建立了生育保障体系,虽然形式不尽相同,但实质和目的都是一致的。当前,我国的生育保障体系主要由四部分组成：第一部分是城镇职工生育保险,这也是目前我国最完善的生育保障项目；第二部分是城镇居民基本医疗保险制度中对城镇户籍孕产妇住院分娩医疗费用补偿的相关规定；第三部分是新型农村合作医疗保险制度中对农村孕产妇住院分娩医疗费用补偿的相关规定,同城镇居民基本医疗保险一样,都处于起步阶段,还有待于发展和完善；第四部分是由国家财政部和原卫生部为提高农村孕产妇住院分娩率,减少孕产妇死亡率和婴儿死亡率而共同启动的农村孕产妇住院分娩补助项目。这些政策的实施大大推动了我国生育保障范围的扩大、待遇水平的提高以及社会保障制度的发展,与此同时,我们也应该认识到,我国生育保障体系还存在立法缺失,没有全国统一的法律规范；支付待遇地域差距较大,不利于社会公平；生育保障待遇水平不高,部分孕产妇住院分娩负担仍然较重；管理混乱等多个方面的问题。笔者运用文献研究法、实地调研法、DRGs成本核算法和资料分析法,以北京市、湖北省和四川省为例,从我国生育保障体系的实际状况出发,立足于我国孕产妇生育保障待遇的现状,通过测算样本地区孕产妇住院分娩所需成本,并与各个生育保障项目的待遇水平进行比较分析,同时对样本地区医院医护人员、孕产妇等进行实地走访调查,找出当前我国生育保障制度存在的问题、管理机构和孕产妇存在的困难,分别从立法、生育保障基金来源、运作及管理方式、相关手续、待遇水平等方面,对进一步完善我国生育保障体系提出了改革建议和设想。
[Abstract]:From the point of view of the world, the social security, which is closely related to people, comes into being and develops gradually with the development of productive forces. The birth insurance of various countries is an important part of the social security system. Maternal fertility is a great contribution to human reproduction, productivity creation and social progress. Countries all over the world attach great importance to the development and improvement of fertility system and reproductive security system. So far, reproductive protection systems have been established in most parts of the world, in varying forms, but in substance and purpose. At present, the birth security system of our country is mainly composed of four parts: the first part is the birth insurance for urban workers, which is also the most perfect maternity security project in our country at present; The second part is the urban residents of the basic medical insurance system to the urban household registration maternity hospital delivery medical expenses compensation related provisions; The third part is the new rural cooperative medical insurance system for rural pregnant and lying-in hospital delivery medical expenses compensation related provisions, like the basic medical insurance of urban residents, are in the initial stage, but also need to be developed and improved; The fourth part is the rural maternity hospital delivery subsidy project which was jointly started by the Ministry of Finance and the former Ministry of Health in order to improve the rate of hospital delivery of rural pregnant and lying-in women and reduce the maternal mortality and infant mortality. The implementation of these policies has greatly promoted the expansion of the scope of maternity security in China, the improvement of the treatment level and the development of the social security system. At the same time, we should also realize that there is still a lack of legislation in our reproductive security system. There is no unified national legal norms; pay treatment regional gap is not conducive to social equity; maternity security treatment level is not high some pregnant women in hospital delivery burden is still heavy; management confusion and other aspects of the problems. The author uses the method of literature research, field investigation, DRGs cost accounting and data analysis, taking Beijing, Hubei and Sichuan Province as examples, starting from the actual situation of China's fertility security system. Based on the current situation of maternity security treatment in China, this paper calculates the cost of in-hospital delivery of pregnant and lying-in women in the sample area, and makes a comparative analysis with the treatment level of various maternity security items. At the same time, the hospital medical staff in the sample area are analyzed. In order to find out the problems existing in the current reproductive security system, the difficulties existing in the management agencies and the pregnant and lying-in women, and to find out the legislation, the source of the maternity protection fund, the operation and management methods, and the relevant procedures, In the aspect of treatment level and so on, the author puts forward the reform suggestion and assumption to further consummate our country's fertility security system.
【学位授予单位】：天津财经大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：F842.617;F842.684

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