本文選題：社會醫(yī)療保險制度 + 改革歷程�。� 參考：《湘潭大學》2014年碩士論文

【摘要】：改革開放以來，我國各方面事業(yè)都得到發(fā)展。經(jīng)濟發(fā)展、居民生活水平提高，但是問題也接踵而來，中國的收入分配不公的問題也在逐漸突顯。我國政府為改善收入分配不平等的問題采取了多種政策措施，，比如建立社會醫(yī)療保障體系。 為實現(xiàn)收入水平低的人群也能得到有效的公共醫(yī)療服務，緩解由疾病造成的收入分配不平等問題，我國政府不斷推動社會醫(yī)療保險制度改革。基于這個背景，測度政府實行的社會醫(yī)療保險制度的收入分配效果是本文關注的焦點。本文以福利經(jīng)濟學理論為基礎，從社會醫(yī)療保險制度的醫(yī)療服務提供、醫(yī)療服務的利用以及籌資情況三個方面來分析。以醫(yī)療改革大事件為線索，將我國的社會醫(yī)療保險制度改革分為三個大的方面：第一階段，20世紀50年代初期-20世紀80年代初期為計劃市場時期；第二階段，20世紀80年代初期-1993年為市場經(jīng)濟過渡時期；第三階段，1994年-2012年為市場經(jīng)濟完善時期。使用中國營養(yǎng)與健康調(diào)查數(shù)據(jù)CHNS，從宏觀層面計算綜合的社會醫(yī)療保險制度的收入再分配效果，來深層次分析研究社會醫(yī)療保險制度緩解我國社會的收入不平等情況的效果。為了更加全面的分析，本文又測度了不同醫(yī)療社會保障制度的收入再分配效果，探討了社會醫(yī)療保險制度的三種制度何種可以更好的起到縮小社會的收入差距，改善社會的收入分配效果。 研究結(jié)果表明：（1）居民的醫(yī)療費用支付會使得社會的基尼系數(shù)上升，加劇社會的收入不平等，反映了居民的醫(yī)療費用支付的確是擴大社會收入分配差距的因素之一。中國社會醫(yī)療保險制度實施補償后社會的基尼系數(shù)會下降，表明中國社會醫(yī)療保險制度從社會全局的角度改善了我國的收入分配效果。（2）居民群體的收入越低，每人醫(yī)療費用支付占每人收入的比率就越高，低收入群體比高收入群體的醫(yī)療負擔相對更重些。（3）城鎮(zhèn)每人醫(yī)療費用支付占每人收入的比率都遠遠低于農(nóng)村，城鎮(zhèn)相對農(nóng)村的醫(yī)療支付費用負擔會更輕些。
[Abstract]:Since the reform and opening up, all aspects of our cause have been developed.With the development of economy and the improvement of living standard, China's income inequality is becoming more and more serious.In order to improve the inequality of income distribution, our government has adopted various policy measures, such as the establishment of social medical security system.In order to realize that the people with low income can also get effective public medical services and alleviate the inequality of income distribution caused by diseases, our government has continuously promoted the reform of social medical insurance system.Based on this background, it is the focus of this paper to measure the income distribution effect of the social medical insurance system implemented by the government.Based on the theory of welfare economics, this paper analyzes the provision of medical service, the utilization of medical service and the financing of social medical insurance system.Taking the medical reform as the clue, this paper divides the reform of social medical insurance system into three aspects: the first stage is from the early 1950s to the early 1980s as the planning market period;The second stage is the transitional period of market economy from the early 1980s to 1993, and the third stage, from 1994 to 2012, is the perfect period of market economy.Using CHNSdata of China Nutrition and Health Survey, the income redistribution effect of the comprehensive social medical insurance system is calculated from the macro level, and the effect of the social medical insurance system on alleviating the income inequality in our country is deeply analyzed and studied.In order to make a more comprehensive analysis, this paper also measures the income redistribution effect of different medical social security systems, and discusses how the three systems of social medical insurance system can play a better role in narrowing the social income gap.Improve social income distribution.The results show that the payment of medical expenses will increase the Gini coefficient of the society and aggravate the income inequality of the society, which reflects that the payment of medical expenses is one of the factors to widen the gap of social income distribution.The Gini coefficient of China's social health insurance system will decline after the implementation of the compensation, which indicates that the Chinese social medical insurance system has improved the income distribution effect of our country from the perspective of the overall social situation.) the lower the income of the residents, the lower the income of the residents.The ratio of medical expenses to income per person is higher, and the lower income groups have a relatively heavier medical burden than the higher income groups) the proportion of medical expenses paid per person per person in urban areas is much lower than that in rural areas.Cities and towns will have a lighter burden of paying for medical care than in the countryside.
【學位授予單位】：湘潭大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：F124.7;F842.684;R197.1

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