广西统筹城乡居民基本医疗保险的难点及对策研究

发布时间：2018-06-19 12:07

本文选题：广西 + 统筹　；参考：《广西医科大学》2013年硕士论文

【摘要】：进入80年代,我国经济制度从计划经济向社会主义市场经济逐步转型,我国医疗保障制度也从过去福利型的公费、劳保医疗制度,转变到社会化管理的基本医疗保险制度。期间,建立起的基本医疗保险制度适应了我国社会主义市场经济体制,在保障广大人民群众基本医疗需求方面发挥了重要的作用。但随着社会的进一步发展,我国现有的基本医疗保险制度在取得显著成绩的同时,也暴露出不少问题。其中一个十分关键的问题是中国城乡分割的二元保险制度已经成为城乡经济、社会统筹发展的严重制约因素。因此,探索城镇居民与农村居民医疗保险制度统筹一体化,就成为我国医药卫生体制改革中值得研究的新课题。本研究立足广西区情,综合运用文献研究法、实证研究法、问卷调查法、专家咨询法等相关研究方法对广西统筹城乡居民基本医疗保险这一课题开展研究。一方面通过设计发放调查问卷,收集整理相关数据,详细分析广西基本医疗保险的参保人群,缴费标准、保险待遇等情况,针对当前广西城镇居民医疗保险和新型农村合作医疗保险存在的突出问题进行深入剖析,找出广西统筹城乡居民医疗保险的难点。另一方面,根据经济基础的相似性、人口结构的相似性等现实条件,选取成都和重庆两市统筹城乡居民基本医疗保险的经验做法加以借鉴,探寻广西城乡医保资源的整合途径,以此缩小人群之间、城乡之间、区域之间的社会医疗保险补偿差别,建立具有良性循环和稳定特性的参保机制,增强社会医疗保险的共济性、公平性和可持续性,为广西卫生事业的进一步发展提供参考。
[Abstract]:In the 1980s, the economic system of our country has gradually transformed from planned economy to socialist market economy, and the medical security system of our country has also changed from the welfare type of public expense and labor insurance medical system to the basic medical insurance system of socialized management. During this period, the basic medical insurance system has adapted to the socialist market economic system of our country and played an important role in protecting the basic medical needs of the broad masses of the people. However, with the further development of society, the existing basic medical insurance system in China has made remarkable achievements, but also exposed a lot of problems. One of the key problems is that China's urban-rural division of the dual insurance system has become a serious constraint on urban and rural economic and social development. Therefore, exploring the integration of medical insurance system between urban and rural residents has become a new topic worth studying in the reform of medical and health system. This study is based on the situation of Guangxi, comprehensive use of literature research, empirical research, questionnaire, expert consultation and other related research methods to Guangxi as a whole urban and rural residents of the basic medical insurance to carry out research. On the one hand, by designing and issuing questionnaires, collecting and collating relevant data, and analyzing in detail the insured population, payment standards and insurance benefits of basic medical insurance in Guangxi, Aiming at the prominent problems existing in the current urban and rural residents' medical insurance in Guangxi and the new rural cooperative medical insurance, the difficulties of Guangxi's overall planning of urban and rural residents' medical insurance are found out. On the other hand, according to the similarity of economic base, the similarity of population structure and other realistic conditions, this paper selects Chengdu and Chongqing to coordinate the experience of urban and rural residents' basic medical insurance for reference, and explores the integration of urban and rural health care resources in Guangxi. In order to reduce the difference of social medical insurance compensation between people, between urban and rural areas, between regions, to establish a mechanism of insurance participation with the characteristics of benign cycle and stability, and to enhance the mutual benefit, equity and sustainability of social medical insurance, To provide a reference for the further development of health care in Guangxi.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：F842.684

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