本文選題：城鎮(zhèn)居民醫(yī)療保險(xiǎn)　切入點(diǎn)：新型農(nóng)村合作醫(yī)療保險(xiǎn)　出處：《新疆財(cái)經(jīng)大學(xué)》2013年碩士論文　論文類型：學(xué)位論文

【摘要】：在中共十八大上，胡錦濤主席明確提出，要“統(tǒng)籌推進(jìn)城鄉(xiāng)社會(huì)保障建設(shè)”。社會(huì)保險(xiǎn)問題作為社會(huì)保障的重要組成部分，在維護(hù)社會(huì)穩(wěn)定、建設(shè)和諧社會(huì)方面發(fā)揮了積極的作用。醫(yī)療保險(xiǎn)又作為社會(huì)保險(xiǎn)的分支，有效地解決了廣大居民“看病貴、看病難”的問題。長期以來，由于我國特殊的二元經(jīng)濟(jì)和社會(huì)結(jié)構(gòu)，由城鎮(zhèn)職工醫(yī)療保險(xiǎn)、城鎮(zhèn)居民醫(yī)療保險(xiǎn)和新型農(nóng)村合作醫(yī)療保險(xiǎn)組成的三大主體醫(yī)療保險(xiǎn)制度雖然在相當(dāng)程度上實(shí)現(xiàn)了全覆蓋，但是制度的城鄉(xiāng)二元結(jié)構(gòu)和碎片狀現(xiàn)象卻很明顯，醫(yī)療衛(wèi)生資源嚴(yán)重分配不均，農(nóng)村居民同樣作為平等自由的個(gè)體而無法享受到與城鎮(zhèn)居民相同的醫(yī)保待遇，違背了公平享有改革開放成果的原則。隨著城鎮(zhèn)化的深入發(fā)展，農(nóng)村居民的生活水平有了很大的提高，要求縮小城鄉(xiāng)差別、平等享有醫(yī)療衛(wèi)生資源的訴求受到廣大專家學(xué)者的關(guān)注。因此，探索建立一體化的醫(yī)療保險(xiǎn)制度，實(shí)現(xiàn)制度在城鄉(xiāng)居民間的公平普惠，就順應(yīng)了當(dāng)前城鄉(xiāng)一體化的發(fā)展趨勢。 城鎮(zhèn)職工醫(yī)療保險(xiǎn)制度、城鎮(zhèn)居民醫(yī)療保險(xiǎn)制度和新型農(nóng)村合作醫(yī)療保險(xiǎn)制度共同構(gòu)成了我國醫(yī)療保險(xiǎn)制度的“三駕馬車”�；诔擎�(zhèn)居民醫(yī)療保險(xiǎn)和新型農(nóng)村合作醫(yī)療保險(xiǎn)在居民收入水平、保障層次等方面有諸多相似性，并且在諸如新疆、浙江等地區(qū)也已開始著手籌備二者并軌相關(guān)的制度設(shè)計(jì)問題，因此又具有現(xiàn)實(shí)可能性。因此，本文主要探討城鎮(zhèn)居民醫(yī)療保險(xiǎn)和新型農(nóng)村合作醫(yī)療保險(xiǎn)的一體化問題，運(yùn)用比較分析法、歸納分析法和文獻(xiàn)分析法進(jìn)行闡釋。從關(guān)于城鄉(xiāng)居民醫(yī)療保險(xiǎn)制度一體化的相關(guān)理論研究和觀點(diǎn)出發(fā)，依據(jù)當(dāng)前我國的基本醫(yī)療保險(xiǎn)現(xiàn)狀,指出當(dāng)前城鄉(xiāng)居民醫(yī)療保險(xiǎn)和新型農(nóng)村合作醫(yī)療保險(xiǎn)制度存在諸多問題,并分析問題的成因可能是我國特殊的城鄉(xiāng)二元經(jīng)濟(jì)結(jié)構(gòu)造成的,進(jìn)而提出了構(gòu)建城鄉(xiāng)居民醫(yī)療保險(xiǎn)一體化制度的設(shè)想。在此基礎(chǔ)上，借鑒國內(nèi)外城鄉(xiāng)居民醫(yī)療保險(xiǎn)一體化制度的經(jīng)驗(yàn)，提出對我國建立醫(yī)療保險(xiǎn)一體化制度的啟示，，并論證了城鎮(zhèn)居民醫(yī)保與新農(nóng)合并軌的必要性與可行性，給出了提高居民醫(yī)療保險(xiǎn)基金統(tǒng)籌層次和鼓勵(lì)商業(yè)保險(xiǎn)加入市場參與競爭的現(xiàn)實(shí)選擇。最后提出建立城鄉(xiāng)居民醫(yī)療保險(xiǎn)一體化制度的相關(guān)對策建議。由于遼寧省大連市是全國開展這三種醫(yī)療保險(xiǎn)的早期試點(diǎn)城市之一，又經(jīng)過這幾年的發(fā)展，數(shù)據(jù)比較全面，制度比較完善，具有一定的代表性，因而，為了便于分析，本文主要以大連市為例。
[Abstract]:At the 18 National Congress of the Communist Party of China (CPC), President Hu Jintao made it clear that it is necessary to "promote the construction of social security in urban and rural areas as a whole." as an important part of social security, the issue of social insurance is maintaining social stability. The construction of a harmonious society has played a positive role. As a branch of social insurance, medical insurance has effectively solved the problem of "expensive and difficult to see a doctor" for the vast number of residents. For a long time, due to the special dual economy and social structure of our country, Although the three major medical insurance systems, consisting of urban worker medical insurance, urban resident medical insurance and new rural cooperative medical insurance, have achieved full coverage to a considerable extent, But the urban-rural dual structure of the system and the phenomenon of fragmentation are very obvious. Medical and health resources are severely unevenly distributed, and rural residents, as equal and free individuals, are unable to enjoy the same medical insurance treatment as urban residents. Contrary to the principle of equitable enjoyment of the fruits of reform and opening up. With the further development of urbanization, the living standards of rural residents have been greatly improved, requiring narrowing the gap between urban and rural areas. The appeal of equal access to medical and health resources has attracted the attention of experts and scholars. Therefore, to explore the establishment of an integrated medical insurance system and to realize the fair and inclusive system between urban and rural residents conforms to the current development trend of urban-rural integration. The medical insurance system for urban workers, The urban residents medical insurance system and the new rural cooperative medical insurance system constitute the "troika" of the medical insurance system of our country. Based on the income level of the urban residents medical insurance and the new rural cooperative medical insurance, There are many similarities in the level of security, and in regions such as Xinjiang and Zhejiang, they have already begun to prepare for the system design problems related to the integration of the two, so there is a realistic possibility. This paper mainly discusses the integration of the urban residents' medical insurance and the new rural cooperative medical insurance, and applies the comparative analysis method. Based on the relevant theoretical research and viewpoints on the integration of urban and rural residents' medical insurance system, according to the current situation of basic medical insurance in China, This paper points out that there are many problems in the current medical insurance system of urban and rural residents and the new rural cooperative medical insurance system, and analyzes that the causes of the problems may be caused by the special urban-rural dual economic structure in China. On the basis of this, the author draws lessons from the experience of the integration system of medical insurance between urban and rural residents at home and abroad, and puts forward the enlightenment to the establishment of medical insurance integration system in China. It also demonstrates the necessity and feasibility of the integration of medical insurance for urban residents and new agricultural cooperation. This paper gives the realistic choice of raising the overall planning level of residents' medical insurance fund and encouraging commercial insurance to join the market to participate in the competition. Finally, it puts forward the relevant countermeasures and suggestions for establishing the integration system of urban and rural residents' medical insurance. Dalian is one of the early pilot cities in China to launch these three kinds of medical insurance. After several years of development, the data is more comprehensive, the system is more perfect, and has a certain representativeness. Therefore, in order to facilitate the analysis, this paper mainly takes Dalian as an example.
【學(xué)位授予單位】：新疆財(cái)經(jīng)大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：F842.684

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 楊榮南;關(guān)于城鄉(xiāng)一體化的幾個(gè)問題[J];城市規(guī)劃;1997年05期

2 胡傳鈴;論市場經(jīng)濟(jì)條件下農(nóng)村社會(huì)保障制度的改革與完善[J];地方政府管理;1998年10期

3 林毓銘;城鄉(xiāng)社會(huì)保障一體化:將進(jìn)城農(nóng)民納入城鎮(zhèn)養(yǎng)老保險(xiǎn)體系[J];調(diào)研世界;2003年10期

4 孫祁祥;朱俊生;鄭偉;李明強(qiáng);;中國醫(yī)療保障制度改革:全民醫(yī)保的三支柱框架[J];經(jīng)濟(jì)科學(xué);2007年05期

5 侯明喜;;統(tǒng)籌城鄉(xiāng)醫(yī)療保險(xiǎn)體制:重慶市的初步實(shí)踐及發(fā)展路徑[J];經(jīng)濟(jì)體制改革;2008年01期

6 侯志陽;我國城鄉(xiāng)二元社會(huì)醫(yī)療保險(xiǎn)體系銜接探析[J];中國礦業(yè)大學(xué)學(xué)報(bào)(社會(huì)科學(xué)版);2003年01期

7 姜作培;城鄉(xiāng)一體化:統(tǒng)籌城鄉(xiāng)發(fā)展的目標(biāo)[J];攀登;2003年06期

8 劉繼同;;統(tǒng)籌城鄉(xiāng)衛(wèi)生事業(yè)發(fā)展與全民醫(yī)療保險(xiǎn)制度建設(shè)的核心理論政策議題[J];人文雜志;2007年02期

9 楊玲;;國內(nèi)外城鄉(xiāng)一體化理論探討與思考[J];生產(chǎn)力研究;2005年09期

10 景天魁;城鄉(xiāng)統(tǒng)籌的社會(huì)保障:思路與對策[J];思想戰(zhàn)線;2004年01期

本文編號(hào)：1623272