發(fā)布時間：2018-07-07 14:53

  本文選題：醫(yī)療保障 + 醫(yī)改��； 參考：《北京交通大學(xué)》2013年碩士論文

【摘要】：當(dāng)前,我國已經(jīng)建成了世界上規(guī)模最大的醫(yī)保體系,覆蓋了將近13億人口,解決了一個人口大國最基本的醫(yī)療保障問題,取得了令世界矚目的成就。但我國目前還處于社會主義初級階段,經(jīng)濟(jì)、社會發(fā)展水平還有限,盡管醫(yī)療衛(wèi)生總費(fèi)用從2005年約8,700億元增長到至今的約18,000億元,但我們也發(fā)現(xiàn),我國的人均衛(wèi)生消費(fèi)僅僅約1,300元,位于世界衛(wèi)生組織的193個成員國中第114位,屬于中等偏下水平。看病難、看病貴的問題依然是我國醫(yī)療保障體系需要解決的頭等大事。為此,構(gòu)建多種制度、模式的多層次、多元化醫(yī)療保障體系和醫(yī)療衛(wèi)生服務(wù)體系,已經(jīng)成為我國本次深化醫(yī)改工作中,解決實際問題的基本共識。商業(yè)健康保險在我國醫(yī)療保障體系中位于第三個層次,它的發(fā)展目標(biāo)應(yīng)該是遵循市場機(jī)制,解決百姓在基本醫(yī)療保障之外的多元需求。由于當(dāng)前的我國的政策環(huán)境,以及商業(yè)健康保險機(jī)構(gòu)自身存在的諸多問題,其發(fā)展速度還比較緩慢,難以滿足我國醫(yī)保體系建設(shè)和廣大百姓對多元化健康保障的需要。另外,在本次深化醫(yī)改工作中,發(fā)展社會辦醫(yī),擴(kuò)大醫(yī)療服務(wù)供給,也是解決"看病難、看病貴"問題的主要辦法之一。雖然社會辦醫(yī)近幾年發(fā)展迅速,但在政策相對滯后,行業(yè)環(huán)境不夠理想,基本醫(yī)保定點(diǎn)資格受限等因素的制約下,以及自身發(fā)展過程中的一些積累問題的影響下,其發(fā)展速度和水平也難以滿足社會需要。本文在眾多探索商業(yè)健康保險和社會辦醫(yī)自身所處環(huán)境、所需政策、所面臨的挑戰(zhàn)和發(fā)展策略等孤立研究之外,拓寬了研究思路,提供了較新的研究視角,并緊密結(jié)合實際,從實現(xiàn)商業(yè)健康保險與社會辦醫(yī)協(xié)同發(fā)展的目標(biāo)入手,通過對大量文獻(xiàn)的深入研究和對比分析,采用網(wǎng)絡(luò)檢索、研究對象訪談等方法收集數(shù)據(jù)和現(xiàn)實依據(jù),結(jié)合有關(guān)經(jīng)濟(jì)學(xué)理論,嘗試找出兩者之間協(xié)同發(fā)展的基礎(chǔ)、協(xié)同發(fā)展模式,并對協(xié)同發(fā)展過程中的一些現(xiàn)實問題進(jìn)行分析、研究,提供一定的解決思路。
[Abstract]:At present, China has built the largest medical insurance system in the world, covering nearly 1.3 billion people. It has solved the most basic medical security problem in a populous country, and has made remarkable achievements in the world. However, China is still in the primary stage of socialism, and the level of economic and social development is still limited. Although the total cost of medical and health care has increased from about 870 billion yuan in 2005 to about 1.8 trillion yuan so far, we have also found that China's per capita health consumption is only about 1300 yuan, ranking 114th among the 193 member countries of the World Health Organization. The problem of difficult and expensive medical treatment is still the top priority of our medical security system. Therefore, the construction of a variety of systems, multi-level model, diversified medical security system and medical and health service system has become the basic consensus in the deepening of medical reform in China, to solve practical problems. Commercial health insurance is at the third level in the medical security system of our country. Its development goal should be to follow the market mechanism and solve the multivariate needs of the common people beyond the basic medical security. Because of the current policy environment of our country and many problems existing in the commercial health insurance institutions, the development speed is still slow, which is difficult to meet the needs of the construction of the medical insurance system and the diversified health security of the masses of people in our country. In addition, it is one of the main ways to solve the problem of "difficult to see a doctor and expensive to see a doctor" to develop the social medical service and expand the medical service supply in the course of deepening the medical reform. Although social health care has developed rapidly in recent years, under the constraints of relatively lagging policies, inadequate industry environment, restricted qualification for basic medical insurance, and some accumulated problems in the process of its own development, Its development speed and level also difficult to meet the social needs. In addition to many isolated studies, such as exploring the environment, policies, challenges and development strategies of commercial health insurance and social health care, this paper broadens the research ideas, provides a new research perspective, and closely combines with practice. Starting with the goal of realizing the cooperative development of commercial health insurance and social medical management, through the in-depth study and comparative analysis of a large number of documents, this paper collects data and realistic basis by means of network retrieval, research object interview and so on. Combined with the relevant economic theory, this paper tries to find out the foundation and mode of cooperative development between the two, and analyzes some practical problems in the process of cooperative development, studies them, and provides some ideas for solving them.
【學(xué)位授予單位】：北京交通大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：F842.684;R197.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 田文華;段光鋒;;公共選擇理論視角下社會資本辦醫(yī)的職能、定位與市場分割[J];衛(wèi)生經(jīng)濟(jì)研究;2013年01期

2 郭麗;徐宏;李揚(yáng);;從衛(wèi)生監(jiān)督角度看健康有序發(fā)展社會辦醫(yī)療機(jī)構(gòu)[J];中國衛(wèi)生監(jiān)督雜志;2012年05期

3 劉月星;宗文紅;姚有華;;我國商業(yè)健康保險風(fēng)險控制問題分析及對策[J];衛(wèi)生經(jīng)濟(jì)研究;2012年07期

4 劉宏;王俊;;中國居民醫(yī)療保險購買行為研究——基于商業(yè)健康保險的角度[J];經(jīng)濟(jì)學(xué)(季刊);2012年04期

5 唐乃杰;;新醫(yī)改背景下我國商業(yè)健康保險角色定位[J];現(xiàn)代商業(yè);2012年18期

6 張溪珍;;對我國發(fā)展商業(yè)健康保險的思考[J];時代金融;2012年15期

7 荊濤;朱慶祥;趙潔;馮鵬程;;論社會醫(yī)療保險和商業(yè)健康保險的有效銜接——以荷蘭、法國、愛爾蘭、澳大利亞的做法為例[J];中國醫(yī)療保險;2012年04期

8 龔貽生;;我國商業(yè)健康保險 保費(fèi)增長 服務(wù)創(chuàng)新[J];中國醫(yī)療保險;2012年03期

9 羅維;宗文紅;田國棟;;部分國家商業(yè)健康保險發(fā)展的特點(diǎn)及對我國的啟示[J];中國衛(wèi)生政策研究;2012年01期

10 馬力;桂江豐;;完善基本醫(yī)療保障制度研究[J];經(jīng)濟(jì)研究參考;2012年01期

相關(guān)博士學(xué)位論文 前1條

1 陶春海;中國醫(yī)療服務(wù)生產(chǎn)效率評價研究[D];江西財經(jīng)大學(xué);2010年

相關(guān)碩士學(xué)位論文 前6條

1 劉利霞;我國商業(yè)健康保險產(chǎn)品開發(fā)研究[D];西南財經(jīng)大學(xué);2011年

2 謝祁宏;中國多層次醫(yī)療保障體系下的商業(yè)健康保險需求研究[D];西南財經(jīng)大學(xué);2011年

3 舒皋甫;城鎮(zhèn)醫(yī)療保障體制改革政策工具研究[D];復(fù)旦大學(xué);2009年

4 丁彩霞;論城鎮(zhèn)職工大額補(bǔ)充醫(yī)療保險的市場化發(fā)展[D];首都經(jīng)濟(jì)貿(mào)易大學(xué);2009年

5 蘇謀東;中國農(nóng)民工醫(yī)療保障制度研究[D];復(fù)旦大學(xué);2008年

6 朱本益;愛爾眼科醫(yī)院集團(tuán)資本運(yùn)營的實踐與分析[D];中南大學(xué);2006年

，

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