军队离休干部医疗保障问题研究

发布时间：2018-05-29 13:48

本文选题：军队离休干部 + 医疗保障　；参考：《国防科学技术大学》2006年硕士论文

【摘要】： 本文以中国社会医疗保险制度改革的实际目标为出发点,通过对军队离休干部医疗保障现状的具体分析,运用调查统计、综合分析、案例分析、比较分析、矛盾分析的方法,在分析我军医疗保障的现状和外军进行后勤社会化保障的经验教训的基础上,结合相关的经济学理论、管理学理论和公共服务社会化原理,对我军离休干部推行社会化医疗保障改革的可行性与必要性进行了研究。同时,分别从经济学、管理学、公共关系学的角度阐述了军队离休干部社会医疗保障制度的理论基础。分析了评价医疗保障制度的公平、效率和适应性原则以及影响医疗保障制度模式选择的经济、社会、政治与文化因素。通过对军队离休干部医疗保障系统外部环境和内部因素分析,提出军队离休干部社会医疗保障的主要构想,并提出与我国经济发展和我军现代化建设相适应的社会化医疗保障应采取的模式和评价准则,以及社会化保障实施的制约因素和应对策略。本文提出的军队离休干部社会医疗保障模式是以实现基本医疗保障为目标,建立一个多层次、开放式的社会医疗保障制度体系。具体说来,以社会医疗保险制度为主体,以医疗救助和商业医疗保险为补充,扩大军队离休干部社会医疗保险的覆盖面,体现多层次需求,尽量为最大多数军队离休干部提供基本医疗保障。考虑军队离休干部是老年人、较低收入人群和社会弱势群体医疗保障的特殊性,建立以国家财政支出为主的医疗保障统筹机制。并从系统运行的角度考察了军队离休干部社会医疗保险的关系要素,管理和保障制度实施的法制、相关体制改革等外部因素。最后,针对国防科技大学军队离休干部医疗保障的案例,结合本文设想的军队离休干部社会医疗保障模式进行了实证分析,得出军队离休干部社会医疗保障模式不仅能解决实际问题,也为推动军队社会化医疗保障的进一步发展有十分重要的意义。
[Abstract]:This article takes the actual goal of the reform of China's social medical insurance system as the starting point, through the concrete analysis of the current situation of medical security for retired military cadres, applies the methods of investigation and statistics, comprehensive analysis, case analysis, comparative analysis and contradiction analysis. On the basis of analyzing the current situation of medical security in our army and the experience and lessons of logistics socialization in foreign armies, combining the relevant economic theory, management theory and the principle of socialization of public service, The feasibility and necessity of socialized medical security reform for retired cadres of our army are studied. At the same time, from the angle of economics, management and public relations, this paper expounds the theoretical basis of the social medical security system for retired military cadres. This paper analyzes the principles of fairness, efficiency and adaptability of the evaluation of medical security system and the economic, social, political and cultural factors that affect the choice of medical security system model. Based on the analysis of the external environment and internal factors of the medical security system for retired military cadres, the main ideas of social medical security for retired military cadres are put forward. The mode and evaluation criterion of socialized medical security, which should be adopted in accordance with the economic development of our country and the modernization of our army, as well as the restrictive factors and countermeasures of the implementation of social security are put forward. The model of social medical security for retired military cadres proposed in this paper aims at realizing basic medical security and establishes a multi-level and open social medical security system. Specifically, taking the social medical insurance system as the main body and taking medical assistance and commercial medical insurance as a supplement, the coverage of social medical insurance for retired military cadres will be expanded to reflect the multi-level demand. As far as possible for the largest number of retired military cadres to provide basic medical care. Considering the particularity of medical security for the retired army cadres who are the old people, the lower income group and the social vulnerable group, the overall medical security mechanism, which is based on the state financial expenditure, is established. From the point of view of system operation, this paper examines the relative factors of social medical insurance for retired military cadres, the legal system of the implementation of management and security system, and other external factors such as the relevant system reform. Finally, according to the case of medical security for retired military cadres in the University of National Defense Science and Technology, this paper makes an empirical analysis on the model of social medical security for retired military cadres as envisaged in this paper. It is concluded that the model of social medical security for retired military cadres can not only solve practical problems, but also play an important role in promoting the further development of socialized medical security in the army.
【学位授予单位】：国防科学技术大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：R82

【引证文献】