城乡居民医疗保险制度的衔接整合研究

发布时间：2018-05-19 17:53

本文选题：城乡居民 + 医疗保险　；参考：《黑龙江大学》2015年硕士论文

【摘要】：中国医疗保障制度的改革步伐从未停止过,目前转向内涵式发展,体制创新成为发展的重点。目前,我国的医疗保险制度主要包含四个部分,分别是城镇职工医疗保险、城镇居民医疗保险、新型农村合作医疗和社会医疗救助制度,在运行过程中出现了很多影响制度效果的问题,如有效覆盖率低、医疗卫生服务范围狭窄且种类不齐全、民众实际享受到的待遇水平较低和社会成员医疗负担重等。将城乡居民医疗保险制度进行衔接整合,是中国医疗保障制度改革迈出的重要一步,不仅能优化医疗保障制度的结构,还能促进城乡均衡化发展。在中国部分地区,城乡居民医疗保险制度已经完成了制度上的衔接与整合,对其他地区城乡居民基本医疗保险制度的统筹发展具有积极的指导作用。本文通过对这些地区城乡居民医疗保险制度的衔接整合研究,对城乡居民医疗保险制度衔接整合的模式进行分类,发现了衔接整合过程中的主要问题,即城乡医疗保险制度衔接整合的顶层设计缺失、整合后的城乡居民医疗保险基金运行机制不完善,并针对这两个问题提出了政策建议,希望这些问题能够得到合理的解决,实现城乡和谐发展。
[Abstract]:The reform of China's medical security system has never stopped. At present, China's medical insurance system mainly consists of four parts, namely, the medical insurance for urban workers, the medical insurance for urban residents, the new rural cooperative medical system and the social medical assistance system. In the process of operation, there are many problems that affect the effect of the system, such as low effective coverage, narrow and incomplete range of medical and health services, low level of treatment actually enjoyed by the public and heavy medical burden on social members. It is an important step in the reform of China's medical security system to link up and integrate the medical insurance system of urban and rural residents. It can not only optimize the structure of medical security system, but also promote the balanced development of urban and rural areas. In some parts of China, the medical insurance system of urban and rural residents has completed the system of convergence and integration, which has a positive guiding role in the overall development of the basic medical insurance system of urban and rural residents in other areas. Through the research on the convergence and integration of the medical insurance system of urban and rural residents in these areas, this paper classifies the mode of convergence and integration of the medical insurance system of urban and rural residents, and finds out the main problems in the process of convergence and integration. That is, the top-level design of the convergence and integration of the urban and rural medical insurance system is missing, the operational mechanism of the integrated medical insurance fund for urban and rural residents is not perfect, and the policy suggestions are put forward in view of these two problems, hoping that these problems can be solved reasonably. We will achieve harmonious development between urban and rural areas.
【学位授予单位】：黑龙江大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：F842.684;R197.1

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