發(fā)布時間：2018-11-22 06:54

【摘要】：廣州市城鄉(xiāng)基本醫(yī)療保險一體化具有理論及實(shí)踐上的可操作性，但也不是一蹴而就的，，需要一定的時間跨度。這跟廣州市各區(qū)的實(shí)際情況、經(jīng)濟(jì)發(fā)展?fàn)顩r、各區(qū)醫(yī)療保險的發(fā)展程度有很大的關(guān)系。 2015年1月1日，廣州市城鎮(zhèn)居民基本醫(yī)療保險將與新型農(nóng)村合作醫(yī)療并軌為廣州市城鄉(xiāng)居民醫(yī)療保險。實(shí)現(xiàn)并軌后，將在廣州市各區(qū)之間打破戶籍限制，統(tǒng)一繳費(fèi)、統(tǒng)一報銷標(biāo)準(zhǔn)，這對實(shí)現(xiàn)廣州市醫(yī)療保險一體化無疑邁出了重要的一步。筆者作為一名曾經(jīng)具有醫(yī)療保險工作經(jīng)驗(yàn)的經(jīng)辦人員，經(jīng)歷過從醫(yī)療保險機(jī)構(gòu)創(chuàng)立、新型農(nóng)村合作醫(yī)療的管理職能由衛(wèi)生行政管理部門移交給人社部門，經(jīng)歷過廣州市城鎮(zhèn)職工基本醫(yī)療保險實(shí)現(xiàn)廣州各區(qū)之間的市級統(tǒng)籌及廣州市居民基本醫(yī)療保險實(shí)現(xiàn)廣州各區(qū)之間的市級統(tǒng)籌。 本文通過陳述廣州市城鄉(xiāng)基本醫(yī)療保險一體化的背景、理論體系、存在的問題及提出解決的途徑，最終說明廣州市城鄉(xiāng)基本醫(yī)療保險一體化應(yīng)該是分階段、按步驟、通過各種制度的完善來實(shí)現(xiàn)的。
[Abstract]:The integration of urban and rural basic medical insurance in Guangzhou is feasible in theory and practice, but it is not accomplished overnight and needs a certain time span. This has a great relationship with the actual situation, economic development and the development of medical insurance in various districts of Guangzhou. On January 1, 2015, the basic medical insurance of urban residents in Guangzhou will be merged with the new rural cooperative medical insurance system to provide medical insurance for urban and rural residents in Guangzhou. After realizing the same track, it will break the household registration restriction, unify the payment of fees, and unify the standard of reimbursement between all districts of Guangzhou, which is undoubtedly an important step to realize the integration of medical insurance in Guangzhou. As a staff member with experience in medical insurance, the author has experienced the establishment of medical insurance institution, and the management function of the new rural cooperative medical system has been transferred from the health administrative department to the human society department. It has experienced the basic medical insurance of urban workers in Guangzhou to realize the city overall planning among Guangzhou districts and the basic medical insurance for Guangzhou residents to realize the city level overall planning among the districts in Guangzhou. This paper describes the background, theoretical system, existing problems and solutions of the integration of urban and rural basic medical insurance in Guangzhou, and finally explains that the integration of urban and rural basic medical insurance in Guangzhou should be divided into stages and steps. Through the improvement of various systems to achieve.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：F842.684;R197.1

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