本文選題：醫(yī)療保險　切入點：新型農(nóng)村合作醫(yī)療制度　出處：《東北師范大學》2015年碩士論文　論文類型：學位論文

【摘要】：我國是從50年代初期開始實施社會保障制度的,保障對象主要有國家機關(guān)、企事業(yè)單位職工,有很少一部分涉及到城鎮(zhèn)居民和農(nóng)民。社會保障系統(tǒng)包括社會保險、社會福利、社會救助、社會優(yōu)撫、醫(yī)療保障等內(nèi)容,其中醫(yī)療保障作為保障人們生活水平和健康狀況的重要制度,在社會保障系統(tǒng)中的重要性與社會保險是等同的,也是較為薄弱的環(huán)節(jié)。我國醫(yī)療保障制度分為城鎮(zhèn)職工醫(yī)療保險、城鎮(zhèn)居民醫(yī)療保險和針對農(nóng)民的新型農(nóng)村合作醫(yī)療制度。從2003年試點以來,新農(nóng)合制度得到不斷改進和完善,在緩解農(nóng)民疾病壓力,改善生活水平,發(fā)展農(nóng)村經(jīng)濟方面發(fā)揮著重要的作用。但是受傳統(tǒng)二元經(jīng)濟的影響,我國醫(yī)療衛(wèi)生資源分配不合理,城鄉(xiāng)醫(yī)療保險差距大是現(xiàn)階段亟待解決的問題。我國醫(yī)療保險現(xiàn)階段面臨的最大挑戰(zhàn)是城鄉(xiāng)差別大;全覆蓋、低保障現(xiàn)象與人們?nèi)找嫣岣叩尼t(yī)療保障水平之間的矛盾;新型農(nóng)村合作醫(yī)療制度、城鎮(zhèn)居民醫(yī)療保險與城鎮(zhèn)職工醫(yī)療保險補償標準不同,違背了醫(yī)療保險作為一種社會福利所要體現(xiàn)的公平性。因此,建立和完善農(nóng)村醫(yī)療保障體系,縮小城鄉(xiāng)差距是達到城鄉(xiāng)醫(yī)療保險一體化、實現(xiàn)城鄉(xiāng)統(tǒng)籌發(fā)展的基本路徑。吉林省是我國第一批新型農(nóng)村合作醫(yī)療試點省份,自新農(nóng)合開展以來,在方案設(shè)計、制度建設(shè)與執(zhí)行等方面進行了積極的探索,取得了顯著的成果,新農(nóng)合覆蓋面不斷擴大,農(nóng)民參合積極性高,不斷完善制度執(zhí)行,改善了農(nóng)民的就醫(yī)條件,減輕了參合農(nóng)民的醫(yī)療負擔,提高了農(nóng)民生活水平。但是在具體運行中也存在一些問題,因此,本文在分析吉林省新農(nóng)合近10年的數(shù)據(jù)和資料的基礎(chǔ)上客觀、全面、真實的總結(jié)問題,針對出現(xiàn)的問題提出解決對策,為完善吉林省新農(nóng)合醫(yī)療制度提供建議,同時為吉林省早日實現(xiàn)醫(yī)療保險城鄉(xiāng)一體化起到促進作用。
[Abstract]:China began implementation of the social security system from the beginning of the 50s, security are the main targets of the state organs, enterprises and workers, there are a few related to urban residents and farmers. Social security system includes social insurance, social welfare, social assistance, social care, health care, including health care as an important institutional guarantee people's living standards and health status and importance in the social security system and social insurance are the same, is also relatively weak. China's medical insurance system for urban employees' medical insurance, medical insurance for urban residents and farmers in the new rural cooperative medical system. Since the pilot from 2003, the new rural cooperative medical system has been improved and perfect, in alleviating the disease pressure, improve the living level, plays an important role in the development of rural economy. But the traditional two yuan by The economic impact of the allocation of health resources in our country is not reasonable, the gap between urban and rural medical insurance is the present problem to be solved. The biggest challenge facing China's medical insurance at the present stage is a big difference between urban and rural areas; full coverage, low security and the increasing contradiction between the level of medical security; new rural cooperative medical system the system of medical insurance for urban residents and medical insurance for urban workers compensation standards, contrary to the fairness of medical insurance as a kind of social welfare to be embodied. Therefore, establishing and perfecting the rural medical security system, narrowing the gap between urban and rural is to achieve the integration of urban and rural medical insurance, the basic path to realize urban and rural development in Jilin province is China. The first batch of new rural cooperative medical system pilot provinces, since the agricultural development in the project design, system construction and implementation and other aspects of the positive exploration, has achieved significant The results of the new rural cooperative medical coverage continues to expand, the participation enthusiasm is high, and constantly improve the system, improve the farmers' medical conditions, reduce the medical burden of the farmers, improve farmers' living standards. But there are some problems in practice because of this, based on the analysis of the new rural cooperative of Jilin province in recent 10 years the data and information on the objective, comprehensive, summed up the real problem, aiming at the existing problems and puts forward countermeasures, provide the suggestion for the improvement of the new rural cooperative medical system in Jilin Province, and Jilin province to realize the integration of urban and rural medical insurance plays a promoting role.

【學位授予單位】：東北師范大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R197.1;F842.684;F323.89

【參考文獻】

相關(guān)期刊論文 前10條

1 高淑紅;;人口老齡化的財政負擔及對策建議[J];地方財政研究;2011年01期

2 李彥敏,崔惠玲,郭華平;從農(nóng)戶態(tài)度看農(nóng)村合作醫(yī)療發(fā)展態(tài)勢[J];調(diào)研世界;2003年05期

3 代志明,何洋;國外農(nóng)村醫(yī)療保障制度的解讀與借鑒[J];經(jīng)濟縱橫;2005年02期

4 趙磊;王紅宇;張玉琴;王建國;;吉林省醫(yī)療保險城鄉(xiāng)一體化的可行性研究[J];勞動保障世界(理論版);2013年04期

5 李明珠;;國外農(nóng)村醫(yī)療保障制度對中國的啟示[J];商場現(xiàn)代化;2009年26期

6 張曉紅;韓俊江;王天鑫;;新型農(nóng)村合作醫(yī)療支付方式存在的問題和對策探析[J];稅務與經(jīng)濟;2013年03期

7 劉遠立,饒克勤,胡善聯(lián);中國農(nóng)村健康保障制度的現(xiàn)狀分析[J];中國衛(wèi)生經(jīng)濟;2002年04期

8 桑新剛;夏芹;楊百團;尹愛田;;從新型農(nóng)村合作醫(yī)療向全民醫(yī)療保險制度變遷的需求[J];中國衛(wèi)生經(jīng)濟;2009年01期

9 趙衛(wèi)華;;新型農(nóng)村合作醫(yī)療不同補償模式的補償效果分析[J];中國衛(wèi)生經(jīng)濟;2009年02期

10 李楠;;對新型農(nóng)村合作醫(yī)療籌資制度的思考[J];西部財會;2006年05期

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