城乡居民医疗保险新型模式:核心理念与策略选择——基于上海城乡居民医疗保险整合实践的反思

发布时间：2018-10-09 09:59

【摘要】：随着城乡差距的扩大与医疗保险的刚性需求增加,构建城乡一体、区域统筹的医疗保险制度已经成为我国医疗保障体系改革和发展的重要方向。本文试图从上海城乡居民医疗保险的整合实践出发,以城乡医保制度整合模式所面临的结构性困境为主线,探讨城乡居民医疗保险的核心理念和策略选择。本文认为,在城乡与区域差异较大的背景下,需要秉承以公平性、普惠性、开放性为核心的理念,通过多元优化、主体协同、共建共享的实践策略,稳步推进医疗保障制度的整合,构建城乡居民医疗保险新型模式。这既是完善社会保障体系的需要,也是让社会成员共享经济社会发展的有效途径。
[Abstract]:With the expansion of the gap between urban and rural areas and the increase of the rigid demand for medical insurance, the construction of urban and rural integration, the regional overall medical insurance system has become an important direction of reform and development of the medical security system in China. Based on the practice of the integration of urban and rural residents' medical insurance in Shanghai, this paper attempts to discuss the core idea and strategic choice of urban and rural residents' medical insurance by taking the structural predicament of the integration mode of urban and rural medical insurance system as the main line. In this paper, under the background of great difference between urban and rural areas, we need to uphold the concept of fairness, inclusiveness and openness as the core, through multiple optimization, subject coordination, co-construction and sharing of practical strategies. We will steadily promote the integration of the medical security system and construct a new model of medical insurance for urban and rural residents. This is not only the need to perfect the social security system, but also an effective way for the social members to share the economic and social development.
【作者单位】：华东理工大学社会与公共管理学院;
【基金】：上海市重点学科(社会学)建设项目(项目编号:B501) 中央高校基本科研业务费专项资金 2014年上海市教委科研创新项目资金资助
【分类号】：F842.684

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