本文選題：城鎮(zhèn)居民醫(yī)保　切入點(diǎn)：新農(nóng)合　出處：《江西財(cái)經(jīng)大學(xué)》2017年碩士論文

【摘要】：伴隨著經(jīng)濟(jì)社會(huì)的不斷發(fā)展,我們國(guó)家逐漸建立起從企事業(yè)單位到個(gè)體工商戶等靈活就業(yè)人員,再到廣大城鄉(xiāng)居民的,覆蓋所有國(guó)人的全民醫(yī)療保險(xiǎn)制度,在制度上實(shí)現(xiàn)了全覆蓋,初步實(shí)現(xiàn)了“人人享有醫(yī)療保險(xiǎn)”的醫(yī)改目標(biāo)。然而,城鎮(zhèn)職工醫(yī)療保險(xiǎn)、新型農(nóng)村合作醫(yī)療保險(xiǎn)及城鎮(zhèn)居民醫(yī)療保險(xiǎn)這三種醫(yī)保制度呈碎片化地各自封閉運(yùn)行不利于制度的可持續(xù)發(fā)展,也與我們國(guó)家極力倡導(dǎo)的“人人平等”原則背道而馳。隨著城鄉(xiāng)一體化進(jìn)程的不斷加快和跨區(qū)域之間的人口流動(dòng),人民要求享受同等醫(yī)療保障待遇的呼聲日益強(qiáng)烈。當(dāng)前戶籍制度改革實(shí)施、城鄉(xiāng)居民養(yǎng)老保險(xiǎn)并軌等一系列打破城鄉(xiāng)二元結(jié)構(gòu)的改革措施出臺(tái)也為城鄉(xiāng)居民醫(yī)療保險(xiǎn)并軌創(chuàng)造了有利條件。2016年1月,國(guó)務(wù)院正式出臺(tái)意見,要求逐步在全國(guó)范圍內(nèi)建立起統(tǒng)一的城鄉(xiāng)居民醫(yī)保制度,標(biāo)志著我國(guó)城鄉(xiāng)居民醫(yī)保制度一體化開始進(jìn)入全面實(shí)施階段。本文首先,立足于國(guó)內(nèi)外研究現(xiàn)狀,介紹城鄉(xiāng)居民醫(yī)保一體化相關(guān)的基本內(nèi)涵和二元經(jīng)濟(jì)結(jié)構(gòu)理論、公共物品理論等理論基礎(chǔ)。然后,運(yùn)用比較分析、描述性分析、問卷調(diào)查等方法介紹近幾年九江市城鎮(zhèn)居民醫(yī)療保險(xiǎn)及新農(nóng)合醫(yī)療保險(xiǎn)的運(yùn)行情況。通過十多年的發(fā)展,九江市城鄉(xiāng)居民醫(yī)保在實(shí)現(xiàn)了“參保覆蓋面廣、制度保障效果好、參保居民評(píng)價(jià)高”預(yù)期目標(biāo)的同時(shí),也存在二元割裂、重復(fù)參保、保障水平有差異、醫(yī)療衛(wèi)生資源配置不平等的問題。最后,在總結(jié)國(guó)內(nèi)東、中、西部試點(diǎn)城市成功經(jīng)驗(yàn)的基礎(chǔ)上,探討城鄉(xiāng)居民醫(yī)療一體化的有利條件,并由此得出實(shí)施九江市城鄉(xiāng)居民醫(yī)保制度一體化的措施,完善制度、整合經(jīng)辦機(jī)構(gòu)、信息系統(tǒng)建設(shè)等。在文章的最后總結(jié)部分,得出九江市城鄉(xiāng)居民基本醫(yī)療保險(xiǎn)制度一體化研究的基本結(jié)論:當(dāng)前,九江市城鎮(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)制度并軌的外部政治、經(jīng)濟(jì)、社會(huì)條件和內(nèi)部制度建設(shè)已成熟。九江市宜結(jié)合本地區(qū)現(xiàn)有制度實(shí)施情況,積極穩(wěn)妥地分階段、按步驟推進(jìn)城鎮(zhèn)居民醫(yī)保和新農(nóng)合整合工作,建立城鄉(xiāng)一體化的居民醫(yī)療保障體系。
[Abstract]:With the continuous development of economy and society, our country has gradually established a national medical insurance system covering all Chinese people, from enterprises and institutions to individual industrial and commercial households, and to the vast number of urban and rural residents.In the system, full coverage has been realized, and the goal of medical insurance for all has been preliminarily realized.However, the medical insurance of urban workers, the new rural cooperative medical insurance and the medical insurance of urban residents are not conducive to the sustainable development of the system.It also runs counter to the principle of equality of all people, which our country strongly advocates.With the accelerating process of urban-rural integration and the movement of population across regions, people are increasingly demanding equal medical security treatment.The implementation of the current household registration system reform and the introduction of a series of reform measures to break the dual structure of urban and rural residents, such as the combination of urban and rural residents' old-age insurance, has also created favorable conditions for the integration of urban and rural residents' medical insurance. In January 2016, the State Council formally issued its opinion.It is necessary to establish a unified medical insurance system for urban and rural residents in the whole country, which indicates that the integration of the medical insurance system of urban and rural residents in China has entered the stage of comprehensive implementation.Firstly, based on the current research situation at home and abroad, this paper introduces the basic connotation of the integration of urban and rural residents' health insurance, the theory of dual economic structure, the theory of public goods and other theoretical bases.Then, by means of comparative analysis, descriptive analysis and questionnaire survey, this paper introduces the operation of medical insurance for urban residents and new rural cooperative medical insurance in Jiujiang City in recent years.Through more than a decade of development, the urban and rural residents' health insurance in Jiujiang City has achieved the expected goals of "broad coverage of insurance coverage, good effect of system security, and high evaluation of insured residents," but at the same time, there is also a dualistic division, repeated participation in insurance, and difference in the level of security.The unequal allocation of medical and health resources.Finally, on the basis of summing up the successful experience of the pilot cities in the east, middle and west of China, this paper discusses the favorable conditions for the integration of urban and rural residents' medical care, and draws the conclusion that the measures to implement the integration of the medical insurance system of urban and rural residents in Jiujiang City and perfect the system.Integration of agencies, information system construction and so on.In the last part of the article, the author draws the basic conclusion of the research on the integration of the basic medical insurance system of urban and rural residents in Jiujiang: at present, the external politics of the integration of the medical insurance system of urban residents and the new rural cooperative medical insurance system in Jiujiang city,Economic, social conditions and internal system construction have matured.Jiujiang City should actively and steadily promote the integration of urban residents' medical insurance and new rural cooperation in stages according to the implementation of the existing system in this region and establish a urban-rural integrated medical security system for residents.
【學(xué)位授予單位】：江西財(cái)經(jīng)大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：F842.684

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