本文關(guān)鍵詞： 城鄉(xiāng)統(tǒng)籌 醫(yī)療保險(xiǎn) 改革　出處：《南京理工大學(xué)》2013年碩士論文　論文類型：學(xué)位論文

【摘要】：建國至今,中國的社會(huì)醫(yī)療保險(xiǎn)制度不斷發(fā)展,已經(jīng)形成了“三個(gè)保障體系加個(gè)救助體系”的醫(yī)療保險(xiǎn)體系(城鎮(zhèn)職工基本醫(yī)療保險(xiǎn)、城鎮(zhèn)居民基本醫(yī)療保險(xiǎn)、新型農(nóng)村合作醫(yī)療和社會(huì)醫(yī)療救助相結(jié)合),從政策制度上看我國已經(jīng)覆蓋了城鄉(xiāng)全體公民,但這僅是在制度體系上覆蓋了全民而已,在實(shí)際經(jīng)辦和政策執(zhí)行中仍有很多問題需要亟待解決。如三種不同的醫(yī)療保障制度之間和政府管理部門之間,都有一些有悖公平和效率的問題,需要進(jìn)一步的完善。因此只有全面建立城鄉(xiāng)統(tǒng)籌的醫(yī)療保障體系才能使全民醫(yī)保真正落實(shí)到位。 目前我國的醫(yī)療保障的主要管理部門是由社會(huì)保障、衛(wèi)生、民政三部門具體管理,與此同時(shí)財(cái)政、國家發(fā)展改革委員會(huì)、農(nóng)業(yè)、藥監(jiān)等部門也參與對(duì)各種政策、制度的分管,多單位的參與造成了“多龍戲水”,卻沒有一個(gè)可以全面整合政策,同時(shí)又能協(xié)調(diào)醫(yī)療保障責(zé)任的部門。這些機(jī)構(gòu)的分設(shè),又造成了公共管理成本的增加,資源大量浪費(fèi),保險(xiǎn)運(yùn)行效率降低。 本文試圖就醫(yī)療保險(xiǎn)城鄉(xiāng)統(tǒng)籌所需條件和阻力方面進(jìn)行研究。首先對(duì)國內(nèi)外醫(yī)療保障制度的發(fā)展現(xiàn)狀進(jìn)行闡述比較；其次從整合的主觀動(dòng)能和客觀條件兩個(gè)角度分析,剖析國家和江蘇省的醫(yī)療保險(xiǎn)城鄉(xiāng)統(tǒng)籌的總體形勢(shì)、存在的主要問題,以及導(dǎo)致這些問題的主要原因。最后文中將使用醫(yī)療保險(xiǎn)學(xué)、經(jīng)濟(jì)學(xué)、公共組織理論等相關(guān)理論,根據(jù)現(xiàn)有國情、省情,提出進(jìn)一步完善城鄉(xiāng)統(tǒng)籌的醫(yī)療保障制度的整合對(duì)策。
[Abstract]:Since the founding of the people's Republic of China, China's social medical insurance system has developed continuously, and has formed a medical insurance system of "three security systems plus a relief system" (basic medical insurance for urban workers, basic medical insurance for urban residents, and basic medical insurance for urban residents). The combination of new rural cooperative medical care and social medical assistance has covered all citizens in both urban and rural areas in terms of policy and system, but this has only covered the whole people in the system. There are still many problems to be solved in the actual operation and policy implementation. For example, between three different medical security systems and between government administration departments, there are some problems that are contrary to fairness and efficiency. Therefore, only the overall establishment of urban and rural overall medical security system can make the health insurance for all really put in place. At present, the main administrative departments of medical security in China are specifically managed by the three departments of social security, health and civil affairs. At the same time, the departments of finance, the National Development and Reform Commission, agriculture, drug control, and other departments are also involved in the management of various policies and systems. The participation of many units has created a "multi-dragon water", but there is no department that can fully integrate the policy and at the same time coordinate the responsibility for health care. The division of these institutions has resulted in an increase in the cost of public administration and a huge waste of resources. The efficiency of insurance operation is reduced. This paper attempts to study the necessary conditions and resistance of medical insurance in urban and rural areas. Firstly, it expounds and compares the development status of medical security system at home and abroad; secondly, it analyzes from two angles of subjective kinetic energy and objective conditions of integration. This paper analyzes the overall situation, the main problems and the main causes of the overall urban and rural planning of medical insurance in China and Jiangsu Province. In the end, we will use relevant theories such as medical insurance, economics, public organization theory, etc. According to the existing national conditions and provincial conditions, the author puts forward the integrated countermeasures to improve the medical security system as a whole in urban and rural areas.
【學(xué)位授予單位】：南京理工大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：F842.6

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本文編號(hào)：1504736