济南市机关事业单位医疗保险改革问题研究

发布时间：2018-05-21 11:29

本文选题：机关事业单位 + 医疗保险　；参考：《山东财经大学》2016年硕士论文

【摘要】：随着我国经济社会发展,人民生活水平的提高,原有的医保制度已经越来越不能满足人民群众对医疗保障水平的需要,公费医疗改革迫在眉睫。1989年,国务院确定在丹东等四个城市进行医改试点。1998年,国务院发布了《关于建立城镇职工基本医疗保险制度的决定》,要求城镇所有用人单位、职工都要参加医疗保险,医疗保险改革正式启动。此后,企业职工公费医疗体制改革迅速开展,由于机关事业单位的特殊性,公费医疗改革进程相对缓慢。2012年,山东省省直机关事业单位全面实行了医疗保险改革。2014年4月,济南市市政府发布了《济南市职工基本医疗保险办法》,并于2014年12月起分三批完成机关事业单位医疗改革。机关事业单位工作人员从此不能享受公费医疗,开始使用社保卡。济南市机关事业单位医疗改革进程中,还存在着相当多的问题需要解决。如:医疗体制与医疗服务落后,资源配置不合理;新制度的自负比例过高,实际保障水平低;大医院出现推诿病人现象等。这些还需要进一步改进,使医疗保险制度更加完善。本文运用文献分析法和访谈法,以福利经济学理论和社会公平理论为基础,对济南市机关事业单位医疗保险改革问题进行研究。首先,对济南市机关事业单位医疗保险制度的演变及改革的内容进行阐述,对一年来医疗保险改革实施的状况进行分析。其次,指出了济南市机关事业单位医疗保险改革存在的问题及原因。最后,提出了完善济南市机关事业单位医疗保险制度改革的政策建议。机关事业单位医疗保险改革涉及千家万户的利益,医保制度是否完善,是否能够满足人民日益增长的需求,这不仅关乎到个人的身体健康,更关乎到整个队伍的稳定。希望通过此文丰富我国的社会保险理论,为我国的机关事业单位医疗保险制度的完善提供一定的借鉴意义。
[Abstract]:With the economic and social development of our country and the improvement of the people's living standard, the original medical insurance system has been unable to meet the needs of the people for the level of medical security more and more. The State Council has decided to pilot medical reform in four cities, including Dandong. In 1998, the State Council issued a decision on establishing a basic medical insurance system for urban workers, requiring all employing units and workers in cities and towns to participate in medical insurance. Health insurance reform is officially launched. Since then, the reform of the public health care system of enterprises and workers has been carried out rapidly. Due to the particularity of the organs and institutions, the process of the reform of public medical care has been relatively slow. In 2012, the institutions of the provincial government departments and institutions in Shandong Province fully implemented the medical insurance reform. In April 2014, The Jinan Municipal Government issued the measures for the basic Medical Insurance of Workers and staff in Jinan City and completed the medical reform of the organs and institutions in three batches in December 2014. The staff of the government institution can't enjoy public medical treatment from now on, begin to use social security card. There are still many problems to be solved in the process of medical reform. For example, the medical system and medical service are backward, the allocation of resources is unreasonable; the new system has a high proportion of conceit and low level of actual guarantee; the phenomenon of prevarication of patients appears in large hospitals and so on. These still need further improvement, make medical insurance system more perfect. Based on the theory of welfare economics and the theory of social equity, this paper studies the reform of medical insurance in Jinan. First of all, this paper expounds the evolution of medical insurance system and the content of reform, and analyzes the status of the implementation of medical insurance reform in the past year. Secondly, it points out the problems and causes of medical insurance reform in Jinan. Finally, the paper puts forward some policy suggestions to perfect the reform of medical insurance system in Jinan. The reform of medical insurance of institutions and institutions involves the interests of thousands of families, whether the medical insurance system is perfect or not, and whether it can meet the increasing needs of the people, which is not only related to the health of individuals, but also to the stability of the whole team. Through this article, we hope to enrich the social insurance theory of our country, and provide some reference significance for the improvement of medical insurance system of our country's organs and institutions.
【学位授予单位】：山东财经大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R197.1;F842.684

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