城乡一体化视域下东莞市农民工医疗保险问题研究
发布时间：2018-07-29 09:21
【摘要】：20世纪90年代至今是东莞市城市建设的上升期,第二产业为主的工业制造业在东莞市生根发芽,创造了较多的就业机会,吸引了较多的农民工涌入东莞市。东莞市农村劳动力转移促进了经济的发展,创造了巨大的经济利益,但是同时也为东莞市城市化的建设带来一定的问题。由于城市的较快发展,贫富差距的扩大,造成农民工这一弱势群体在城市中面临着较差的工作环境,自身的医疗卫生条件较差、较高的医疗费用与工作收入存在较大的矛盾,因此影响农民工的身心健康发展。受城乡二元社会结构的影响,特别是在东莞市这一经济发达的制造业城市,农民工从事劳动密集型产业,出卖廉价劳动力,工资收入较低,同时还存在医疗保险没有涉及到的问题,农民工的收入无力支付高额医疗费用,致使很多农民工将小病拖成大病,身体健康水平整体不高。目前,有关农民工的医疗服务体系还不完善,农民工对医疗保险也缺乏一定的认知,因此探索出适合东莞市城乡一体化的农民工医疗保险体系具有重要的实际意义。本论文在东莞市目前农民工医疗保险情况的基础之上,立足于社会保障理论和效率和公平理论对处于城乡一体化改革背景下的东莞市农民工的医疗保险情况进行调查和分析,包括东莞市农民工医疗保险取得的成绩,东莞市农民工的基本情况,东莞市农民工的健康状况,东莞市农民工医疗保险的状况。并分析了城乡一体化背景下农民工医疗保险存在的主要问题及进行了原因分析,主要存在的问题有:农民工没有享受城镇医疗服务,异地衔接和报销较困难,缺乏针对老年医疗保障,务工时间短的农民工参加医疗保险困难,可供农民工选择的医疗保险有限。造成这一系列的原因主要有:制度缺陷、各级政府责任、农民工自身原因、缺乏有效的监管等。因此针对存在的问题提出适合东莞市一体化发展的医疗保险措施,包括统筹建设城乡一体化医疗保险制度、明确政府责任、利用商业保险完善农民工医疗保险体系等。目前,东莞市农民工医疗保险体系的完善还需要多方共同努力,还需要通过不断的实践来总结经验,探索出真正的符合东莞市城乡一体化发展的医疗保险体系,促进东莞市城市化的进程。
[Abstract]:Since the 1990s, the city of Dongguan City has been on the rise. The secondary industry-oriented industrial manufacturing industry has taken root and sprouted in Dongguan City, created more employment opportunities and attracted more migrant workers to flood into Dongguan City. The transfer of rural labor force in Dongguan has promoted the development of economy and created huge economic benefits, but at the same time, it has also brought some problems to the construction of urbanization in Dongguan. Due to the rapid development of the city and the widening gap between the rich and the poor, migrant workers, as a vulnerable group, are faced with a poor working environment in the city, their own medical and health conditions are poor, and there is a greater contradiction between the higher medical expenses and the work income. Therefore, it affects the physical and mental development of migrant workers. Affected by the dual social structure between urban and rural areas, especially in Dongguan, a manufacturing city with a developed economy, migrant workers are engaged in labor-intensive industries, sell cheap labor, and earn relatively low wages. At the same time there are also problems that medical insurance does not involve. The income of migrant workers is unable to pay the high medical costs. As a result many migrant workers drag the minor illness into a serious illness and the overall level of health is not high. At present, the medical service system of migrant workers is not perfect, and migrant workers also lack a certain understanding of medical insurance, so it is of great practical significance to explore a medical insurance system suitable for the integration of urban and rural areas in Dongguan City. Based on the current medical insurance situation of migrant workers in Dongguan City, this paper investigates and analyzes the medical insurance situation of migrant workers in Dongguan under the background of urban and rural integration reform based on the theory of social security, efficiency and fairness. Including the achievements of medical insurance for migrant workers in Dongguan, the basic situation of migrant workers in Dongguan, the health status of migrant workers in Dongguan, and the medical insurance status of migrant workers in Dongguan. It also analyzes the main problems and causes of medical insurance of migrant workers under the background of urban-rural integration. The main problems are: rural migrant workers do not enjoy urban medical services, and it is difficult to connect and reimburse in different places. Lack of medical insurance for the elderly, migrant workers with short time to participate in medical insurance is difficult, the choice of medical insurance for migrant workers is limited. The main causes are: system defects, government responsibilities at all levels, migrant workers themselves, lack of effective supervision and so on. Therefore, this paper puts forward the medical insurance measures suitable for the integration development of Dongguan City, including the overall construction of the urban-rural integrated medical insurance system, the clear government responsibility, and the use of commercial insurance to improve the medical insurance system of migrant workers, and so on. At present, the improvement of the medical insurance system of migrant workers in Dongguan still needs to make joint efforts, sum up experience through continuous practice, and explore a real medical insurance system that conforms to the development of integration of urban and rural areas in Dongguan. To promote the process of urbanization in Dongguan.
【学位授予单位】：仲恺农业工程学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：F842.684;F323.89
本文编号：2152231
[Abstract]:Since the 1990s, the city of Dongguan City has been on the rise. The secondary industry-oriented industrial manufacturing industry has taken root and sprouted in Dongguan City, created more employment opportunities and attracted more migrant workers to flood into Dongguan City. The transfer of rural labor force in Dongguan has promoted the development of economy and created huge economic benefits, but at the same time, it has also brought some problems to the construction of urbanization in Dongguan. Due to the rapid development of the city and the widening gap between the rich and the poor, migrant workers, as a vulnerable group, are faced with a poor working environment in the city, their own medical and health conditions are poor, and there is a greater contradiction between the higher medical expenses and the work income. Therefore, it affects the physical and mental development of migrant workers. Affected by the dual social structure between urban and rural areas, especially in Dongguan, a manufacturing city with a developed economy, migrant workers are engaged in labor-intensive industries, sell cheap labor, and earn relatively low wages. At the same time there are also problems that medical insurance does not involve. The income of migrant workers is unable to pay the high medical costs. As a result many migrant workers drag the minor illness into a serious illness and the overall level of health is not high. At present, the medical service system of migrant workers is not perfect, and migrant workers also lack a certain understanding of medical insurance, so it is of great practical significance to explore a medical insurance system suitable for the integration of urban and rural areas in Dongguan City. Based on the current medical insurance situation of migrant workers in Dongguan City, this paper investigates and analyzes the medical insurance situation of migrant workers in Dongguan under the background of urban and rural integration reform based on the theory of social security, efficiency and fairness. Including the achievements of medical insurance for migrant workers in Dongguan, the basic situation of migrant workers in Dongguan, the health status of migrant workers in Dongguan, and the medical insurance status of migrant workers in Dongguan. It also analyzes the main problems and causes of medical insurance of migrant workers under the background of urban-rural integration. The main problems are: rural migrant workers do not enjoy urban medical services, and it is difficult to connect and reimburse in different places. Lack of medical insurance for the elderly, migrant workers with short time to participate in medical insurance is difficult, the choice of medical insurance for migrant workers is limited. The main causes are: system defects, government responsibilities at all levels, migrant workers themselves, lack of effective supervision and so on. Therefore, this paper puts forward the medical insurance measures suitable for the integration development of Dongguan City, including the overall construction of the urban-rural integrated medical insurance system, the clear government responsibility, and the use of commercial insurance to improve the medical insurance system of migrant workers, and so on. At present, the improvement of the medical insurance system of migrant workers in Dongguan still needs to make joint efforts, sum up experience through continuous practice, and explore a real medical insurance system that conforms to the development of integration of urban and rural areas in Dongguan. To promote the process of urbanization in Dongguan.
【学位授予单位】：仲恺农业工程学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：F842.684;F323.89
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