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

【摘要】：我國是從50年代初期開始實(shí)施社會(huì)保障制度的,保障對象主要有國家機(jī)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(huì)保障系統(tǒng)包括社會(huì)保險(xiǎn)、社會(huì)福利、社會(huì)救助、社會(huì)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(huì)保障系統(tǒng)中的重要性與社會(huì)保險(xiǎn)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(xiǎn)、城鎮(zhèn)居民醫(yī)療保險(xiǎn)和針對農(nóng)民的新型農(nóng)村合作醫(yī)療制度。從2003年試點(diǎn)以來,新農(nóng)合制度得到不斷改進(jìn)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(jì)方面發(fā)揮著重要的作用。但是受傳統(tǒng)二元經(jīng)濟(jì)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(xiǎn)差距大是現(xiàn)階段亟待解決的問題。我國醫(yī)療保險(xiǎn)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(xiǎn)與城鎮(zhèn)職工醫(yī)療保險(xiǎn)補(bǔ)償標(biāo)準(zhǔn)不同,違背了醫(yī)療保險(xiǎn)作為一種社會(huì)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(dá)到城鄉(xiāng)醫(yī)療保險(xiǎn)一體化、實(shí)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(diǎn)省份,自新農(nóng)合開展以來,在方案設(shè)計(jì)、制度建設(shè)與執(zhí)行等方面進(jìn)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(kuò)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(fù)擔(dān),提高了農(nóng)民生活水平。但是在具體運(yùn)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(shí)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(shí)為吉林省早日實(shí)現(xiàn)醫(yī)療保險(xiǎn)城鄉(xiāng)一體化起到促進(jìn)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(xué)位授予單位】：東北師范大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R197.1;F842.684;F323.89

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