河北省工伤保险一次性补助制度研究

发布时间：2018-07-29 06:05

【摘要】：工伤保险是社会保险中较早诞生的险种,是社会保险制度的重要组成部分,而工伤一次性补助制度是我国工伤保险的重要方面之一。随着我国工伤保险制度不断完善,河北省工伤保险政策和标准体系也更加完备。工伤保险一次性补助制度最早被提出是在1996年出台的《企业职工工伤保险试行办法》,经过二十余年的发展,一次性补助制度在特定的历史条件下,在保障工伤职工权益和执行国家工伤保险政策方面发挥了较大作用。近年来经济不断发展,工伤一次性补助制度不断调整完善,河北省工伤保险领域继续全面深化改革,改善服务质量、提升服务水平。目前在保障水平、治理冒领骗保现象和减少部分资金支付不到位现象等方面存在较大问题,同人民群众对工伤保险更加公平以及可持续发展的实际需求对比,河北省工伤保险制度的现行体系提供的服务还有一定差距。经过调查分析,从严密制度设计、利用新技术等方面提出了相应的对策建议。围绕工伤一次性补助制度存在的问题,本文参考了河北省的实践情况,首先梳理了相关文献,通过国内外有关研究、官方的数据和一些学术资料,对当前一次性补助制度的发展历程和学者们研究的方向进行了较为充分的研究。其次,针对工伤职工,设计了调查问卷,从直观上获取关于一次性补助制度的现状和存在的问题,同时做了针对制度的满意度调查,通过对满意度的分析哪里是工伤职工不满意的地方,进而在分析问题和解决问题上做到有的放矢。第三,设计了针对工伤职工、经办机构人员和工伤康复医务人员的访谈。通过访谈,从三个角度观察了一次性补助制度存在的问题、原因和解决方法。再有引入了现实案例,直观生动的分析,同时增强说服力,通过这些资料推动研究进一步深入。通过对问卷、访谈和案例的分析发现,在社会经济迅速发展、信息技术不断普及的背景下,当前河北省工伤一次性补助制度运行的确存在一些较为突出的问题。主要有一次性补助的金额难以满足工伤职工需求,尤其是多次复发的旧伤治疗需求;部分企业和职工为了牟利骗取一次性补助金;经办部门方面,对工伤职工的伤情追踪机制建设相对滞后等。通过实践调查和相关文献,分析了问题产生的原因,发现工伤职工旧伤复发后目前的一次性补助标准是难以满足治疗需要的,因此根本的解决办法是探索新机制,使工伤职工旧伤复发后依然受到工伤保险基金保障。在病情监控方面,重视信息化建设,依托社会保障卡系统建立追踪治疗系统。针对部分不同程度的骗保行为,应当严密制度设计,使补助金的发放和领取都在严密的制度中运行。对于企业应当支付的一次性伤残就业补助金的拖欠问题,政府应当使用“看得见的手”,用法律和政策等规制手段,鼓励和引导企业按时足额支付。
[Abstract]:Industrial injury insurance is the early birth of the social insurance, is an important part of the social insurance system, and the one-off injury compensation system is one of the important aspects of industrial injury insurance in China. With the continuous improvement of industrial injury insurance system in China, Hebei Province industrial injury insurance policy and standard system is more complete. The system of one-off compensation for industrial injury insurance was first put forward in 1996, "measures for trial implementation of Industrial injury Insurance for Enterprise employees". After more than 20 years of development, the one-off subsidy system is under specific historical conditions. In the protection of the rights and interests of industrial injury workers and the implementation of national industrial injury insurance policy has played a greater role. In recent years, the economy has been developing and the system of one-off compensation for work-related injuries has been continuously adjusted and perfected. In Hebei Province, the field of industrial injury insurance continues to deepen overall reform, improve the quality of service and raise the level of service. At present, there are major problems in terms of the level of security, the prevention of fraud and the reduction of inadequate payment of some funds, comparing with the actual demand of the masses for more equitable and sustainable development of industrial injury insurance. Hebei Province the current system of industrial injury insurance system to provide services there is a certain gap. Through investigation and analysis, this paper puts forward corresponding countermeasures and suggestions from the aspects of strict system design and utilization of new technology. Based on the problems existing in the system of one-off compensation for work-related injuries, this paper refers to the practice in Hebei Province, and firstly combs the relevant literature, through relevant studies at home and abroad, official data and some academic materials. The development course of the current one-time subsidy system and the research direction of scholars are fully studied. Secondly, the questionnaire is designed to obtain the current situation and existing problems of the one-off subsidy system, and at the same time, the satisfaction survey of the system is done. Through the analysis of satisfaction where the injured workers are not satisfied, and then in the analysis of problems and solutions to achieve a targeted. Third, designed for the injured workers, agencies and rehabilitation medical staff interviews. Through interviews, the problems, causes and solutions of one-time subsidy system are observed from three angles. Then it introduces real cases, intuitionistic and vivid analysis, and strengthens the persuasion, through which the research can be further studied. Through questionnaire, interview and case analysis, it is found that under the background of the rapid development of social economy and the constant popularization of information technology, there are some outstanding problems in the operation of the one-off compensation system for work-related injuries in Hebei Province. There are mainly one-off subsidies that are difficult to meet the needs of workers at work injuries, especially the needs for treatment of old injuries that recur many times; some enterprises and workers defraud one-time subsidies for profit; in the administrative departments, To the injury worker's injury tracking mechanism construction relatively lags behind and so on. Through practical investigation and related literature, this paper analyzes the causes of the problem, and finds that the current standard of one-time subsidy after the recurrence of old injury is difficult to meet the need of treatment, so the fundamental solution is to explore new mechanism. Make inductrial injury worker old injury relapse still be protected by inductrial injury insurance fund. In the aspect of disease monitoring, we should pay attention to the information construction and build up the tracking and treatment system based on the social security card system. In view of some different degree of fraud and protection behavior, strict system should be designed to make the payment and receipt of subsidies run in a strict system. The government should use the "visible hand" and other regulatory means to encourage and guide the enterprises to pay in full and on time.
【学位授予单位】：河北师范大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：F842.616

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