本文關鍵詞： 醫(yī)療保險 醫(yī)療保障體系 基本醫(yī)療保險制度 城鄉(xiāng)統(tǒng)籌 統(tǒng)籌發(fā)展 城鄉(xiāng)一體化發(fā)展　出處：《上海師范大學》2016年碩士論文　論文類型：學位論文

【摘要】：伴隨著上海市城市化水平不斷提高,經濟水平的不斷發(fā)展,社會基礎保障體系也越發(fā)完善。2011年7月,上海市取消了醫(yī)療綜合保險,將外來從業(yè)人員和城郊用人單位從業(yè)人員統(tǒng)一納入到城鎮(zhèn)職工基本醫(yī)療保險范圍,進一步完善優(yōu)化了上海市整體醫(yī)療保險結構體系。上海市目前的基本醫(yī)療保險制度以城鎮(zhèn)職工基本醫(yī)療保險制度、城鎮(zhèn)居民基本醫(yī)療保險制度為主,但在一些涉農區(qū)縣實行的是新型農村合作醫(yī)療保險制度;另外,城鄉(xiāng)醫(yī)療救助制度作為整體保障的最后一道防線,這些現(xiàn)行的醫(yī)療保險體系對維護城鄉(xiāng)貧困人員的基本醫(yī)療衛(wèi)生權益起到了重要作用。然而當前的上海基本醫(yī)療保險制度仍然是多元分割運行的體制,存在以戶籍標準、就業(yè)標準分割運行等情況,部分農民工和靈活就業(yè)人員還未被納入整體覆蓋范圍,呈現(xiàn)出城鄉(xiāng)二元結構和人群分立態(tài)勢,這在一定程度上制約了上海市社會經濟的統(tǒng)籌整體發(fā)展和勞動力的自由流動,影響了社會的公平和穩(wěn)定。因此,統(tǒng)籌城鄉(xiāng)基本醫(yī)療保險制度的構建是上海市城市整體發(fā)展的當務之急,必須盡快設計合理的統(tǒng)籌路徑、方式和政策,不斷縮小城鄉(xiāng)之間、不同群體之間的待遇差距,實現(xiàn)人人公平享有基本的醫(yī)療保障。目前,我國總體上已經進入以工促農、以城帶鄉(xiāng)的發(fā)展階段,已經著力開展破除城鄉(xiāng)二元結構、促進城鄉(xiāng)一體化發(fā)展的重要任務,統(tǒng)籌城鄉(xiāng)發(fā)展已成為加快推進我國現(xiàn)代化建設和全面建設小康社會的重要戰(zhàn)略。上海是我國經濟中心,也是農村規(guī)模最小的省級行政區(qū)。上海具備破除城鄉(xiāng)二元結構、促進城鄉(xiāng)一體化發(fā)展的優(yōu)越條件和能力,在統(tǒng)籌城鄉(xiāng)發(fā)展方面,上海處于全國前列,這就要求上海盡快改變城鄉(xiāng)分割的基本醫(yī)療保險制度,從而促進上海城市社會經濟的統(tǒng)籌發(fā)展。
[Abstract]:With the increasing level of urbanization and the development of economic level in Shanghai, the social basic security system has become more and more perfect. In July 2011, Shanghai canceled comprehensive medical insurance. Bringing foreign employees and employees of suburban employing units into the scope of basic medical insurance for urban workers, It has further improved and optimized the overall medical insurance structure in Shanghai. At present, the basic medical insurance system in Shanghai consists mainly of the basic medical insurance system for urban workers and the basic medical insurance system for urban residents. However, in some agriculture-related districts and counties, the new rural cooperative medical insurance system is implemented. In addition, the urban and rural medical assistance system serves as the last line of defense for the overall protection. These current medical insurance systems have played an important role in safeguarding the basic medical and health rights of poor people in urban and rural areas. However, the current basic medical insurance system in Shanghai is still a pluralistic and divided operation system, with a household registration standard. Some migrant workers and flexible employment personnel have not been included in the overall coverage, showing a dual structure between urban and rural areas and a trend of separation of people. To a certain extent, this has restricted the overall social and economic development of Shanghai and the free flow of labor, and affected the fairness and stability of the society. The construction of urban and rural basic medical insurance system is an urgent task for the overall development of Shanghai city. It is necessary to design as soon as possible a reasonable overall planning path, methods and policies to continuously narrow the treatment gap between urban and rural areas and between different groups. At present, our country has generally entered the stage of promoting agriculture by industry and taking cities and townships into a stage of development. It has devoted itself to the important task of breaking down the dual structure of urban and rural areas and promoting the development of integration between urban and rural areas. As a whole, urban and rural development has become an important strategy for speeding up the modernization drive and building a well-off society in an all-round way. Shanghai is the economic center of our country and the provincial administrative region with the smallest rural scale. Shanghai has the ability to break down the urban-rural dual structure. Shanghai is at the forefront of the country in terms of promoting the development of urban and rural integration, and Shanghai is at the forefront of the country in coordinating urban and rural development. This requires Shanghai to change the basic medical insurance system of urban-rural segmentation as soon as possible. Thus promoting the overall social and economic development of Shanghai.
【學位授予單位】：上海師范大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：F842.684;R197.1

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