陕西省重特大疾病医疗救助制度研究

发布时间：2018-04-20 00:15

本文选题：重特大疾病 + 弱势群体　；参考：《西北大学》2016年硕士论文

【摘要】：我国的社会保障体系由社会保险、社会福利、优抚安置、社会救助和住房保障等组成,社会保险是社会保障体系的重要组成部分,是社会保障实现的纲领。政府承担着医疗救助的责任,它是区别于其他医疗保险制度最大差别之处。社会救助是社会保障体系的重要组成部分,而医疗救助是社会救助体系的一个分支,主要解决困难群体相关就医问题,保证贫困人群最低水平的就医需求,是贫困群体健康的最后的安全保障,发挥着重要的作用。最近几年,陕西省认真执行中央的医药卫生体制改革,不断完善城乡医疗救助制度的通盘筹划,救助的范围由点到面逐步扩大,救助程序也在不断的简化,重特大疾病医疗救助的兜底作用也初步显现出来。随着社会经济的快速发展和政府对困难群体健康的高度重视,陕西省重特大疾病医疗救助工作进入了发展的黄金时期,救助范围由点到面逐步加大,制度在推进过程中逐渐的完善。然而贫困总是和重特大疾病关联,因患重特大疾病需要高昂医疗费用支出,使家庭或个人倾其所有进行治疗,致使贫困的发生,或因治疗费用超出家庭或者个人的支付能力而放弃治疗,导致困难群体的生命健康权难以保障。针对目前制度存在的不足,陕西省民政部门加快推进重特大疾病医疗救助制度探析,提高重特大疾病医疗救助的水平,促进制度尽快完善,实现以人为本的科学发展观。通过对试点地区制度实施当中的代表性问题进行深入研究和探讨,为陕西省重特大疾病医疗救助制度的完善提供有益的建议。本研究采用了文献研究法、典型个案分析,根据目前各试点城市已经开展的救助方案分析和归纳,深入剖析典型的地区医疗救助方案,并在此基础上,结合了城乡居民医疗的实际要求、基本医疗的保险水平以及医疗服务水平等情况,讨论分析有关重特大疾病救助的对象合理确定、确立救助的标准和救助方式的设立。同时结合国外发达国家医疗救助的先进经验和好的做法,来加快陕西省重特大疾病医疗救助制度的建设,进一步对制度进行完善。通过对重特大疾病医疗救助制度的合理安排,能够增强贫困群体抵御突发病患的能力,给予目标人群经济支持,使他们的健康得到基本保障,促进居民健康权利的公平实现。
[Abstract]:The social security system in China is composed of social insurance, social welfare, preferential care and placement, social assistance and housing security. Social insurance is an important part of the social security system and a program for the realization of social security. The government bears the responsibility for medical assistance, which distinguishes itself from other health insurance systems. Social assistance is an important part of the social security system, and medical assistance is a branch of the social assistance system. It is the last safe guarantee of the poor group's health, and plays an important role. In recent years, Shaanxi Province has conscientiously implemented the reform of the central medical and health system, constantly improving the overall planning of the medical aid system in urban and rural areas, gradually expanding the scope of relief from point to side, and simplifying the relief procedures. The effect of medical aid for serious and serious diseases is also initially revealed. With the rapid development of social economy and the high attention paid by the government to the health of the poor groups, the medical aid for serious and serious diseases in Shaanxi Province has entered a golden period of development, and the scope of relief has gradually increased from point to side. The system is gradually perfected in the process of advancement. Poverty, however, is always associated with serious and serious diseases, which require high medical costs and are treated by families or individuals, causing poverty to occur. Or because the cost of treatment exceeds the ability of the family or individual to pay, resulting in difficult groups to protect the right to life and health. In view of the deficiency of the present system, the civil affairs department of Shaanxi Province speeds up the analysis and analysis of the medical aid system for serious and serious diseases, raises the level of medical aid for the serious and serious diseases, promotes the system to be perfected as soon as possible, and realizes the scientific development view of people-oriented. Through the in-depth study and discussion on the representative problems in the implementation of the system in the pilot area, it provides useful suggestions for the improvement of the medical aid system for the serious and serious diseases in Shaanxi Province. This research adopts the literature research method, the typical case analysis, according to the each pilot city has already carried out the rescue program analysis and the induction, deeply analyzes the typical district medical aid plan, and on this basis, Combined with the actual requirements of urban and rural residents' medical treatment, the level of basic medical insurance and the level of medical service, this paper discusses and analyzes the reasonable determination of the object of assistance for serious and serious diseases, and establishes the standard of relief and the establishment of relief method. At the same time, combining with the advanced experience and good practice of medical aid in developed countries abroad, we can speed up the construction of medical aid system for serious and serious diseases in Shaanxi Province, and further improve the system. Through the reasonable arrangement of medical aid system for serious and serious diseases, it can strengthen the ability of the poor group to resist the sudden disease, give economic support to the target group, make their health get basic protection, and promote the fair realization of residents' right to health.
【学位授予单位】：西北大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R197.1;D632.1

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