本文選題：農(nóng)民工 + 基本醫(yī)療保險(xiǎn)�。� 參考：《西南財(cái)經(jīng)大學(xué)》2013年碩士論文

【摘要】：社會(huì)醫(yī)療保險(xiǎn)制度作為社會(huì)保險(xiǎn)體系中重要的保障制度之一,旨在滿(mǎn)足廣大民眾基本的醫(yī)療需求的基礎(chǔ)上,降低醫(yī)療成本,最終以實(shí)現(xiàn)全民健康狀況的改善為目標(biāo),保障廣大民眾最基本的健康權(quán)益。農(nóng)民工,一個(gè)中國(guó)特色社會(huì)主義建設(shè)過(guò)程中的特殊名詞---這群來(lái)自于農(nóng)村,服務(wù)于城市的群體,由于中國(guó)不健全的社會(huì)保障制度而處于社會(huì)福利的邊緣。隨著我國(guó)經(jīng)濟(jì)的迅猛發(fā)展,國(guó)家也開(kāi)始著手對(duì)農(nóng)民工群體的社會(huì)保障政策所存在的矛盾進(jìn)行調(diào)和,陸續(xù)出臺(tái)了多項(xiàng)重要政策,以針對(duì)農(nóng)民工的各項(xiàng)權(quán)益進(jìn)行修補(bǔ)和維護(hù)。而醫(yī)療保險(xiǎn)制度是其核心政策。截止2013年1月,我國(guó)出臺(tái)的針對(duì)農(nóng)民工群體的社會(huì)醫(yī)療保險(xiǎn)制度主要分為幾大類(lèi)：第一類(lèi)將農(nóng)民工群體劃入城鎮(zhèn)職工基本醫(yī)療保險(xiǎn)制度的范疇,同城鎮(zhèn)職工共享平等的醫(yī)療保險(xiǎn)待遇：第二類(lèi)即為專(zhuān)門(mén)針對(duì)農(nóng)民工特點(diǎn)出臺(tái)的地方性農(nóng)民工大病醫(yī)療保險(xiǎn)制度；第三類(lèi)為少見(jiàn)的地方性綜合醫(yī)療保險(xiǎn)制度,目前這種制度僅上海還保存；最后一類(lèi)則將農(nóng)民工納入城鄉(xiāng)居民基本醫(yī)療保險(xiǎn)制度體系內(nèi)。但是這些制度存在一個(gè)當(dāng)農(nóng)民工變換工作地點(diǎn)或居住地點(diǎn)時(shí),其在原工作地的社會(huì)醫(yī)療保險(xiǎn)卻不能順暢轉(zhuǎn)移銜接的問(wèn)題。因而如何解決農(nóng)民工醫(yī)療保險(xiǎn)制度的轉(zhuǎn)移銜接問(wèn)題成為了近年來(lái)政府和學(xué)術(shù)界廣泛關(guān)注和探討的話題。 文章從我國(guó)農(nóng)民工和農(nóng)民工醫(yī)療保險(xiǎn)制度的起源出發(fā),逐步開(kāi)始探討關(guān)于農(nóng)民工醫(yī)療保險(xiǎn)制度的轉(zhuǎn)移接續(xù)問(wèn)題。文章重點(diǎn)立足于詳實(shí)的資料收集和整理,對(duì)我國(guó)農(nóng)民工醫(yī)療保險(xiǎn)制度轉(zhuǎn)移接續(xù)的現(xiàn)狀進(jìn)行調(diào)研,從中分析銜接的困境何在、存在哪些問(wèn)題,并分別從制度內(nèi)和制度外兩個(gè)方面探討影響我國(guó)農(nóng)民工醫(yī)療保險(xiǎn)制度轉(zhuǎn)移銜接難的主要因素。最終結(jié)合國(guó)外流動(dòng)人員基本醫(yī)療保險(xiǎn)轉(zhuǎn)移銜接的相關(guān)做法和經(jīng)驗(yàn),提出了我國(guó)農(nóng)民工醫(yī)療保險(xiǎn)制度轉(zhuǎn)移銜接的最終模式——“二位一體”的國(guó)民基本醫(yī)療保險(xiǎn)體制。其改革路徑主要分為制度內(nèi)和制度外兩個(gè)層面,提出只有逐步取消制度的“碎片化”,實(shí)現(xiàn)制度層面上的統(tǒng)一和待遇層面上的一體化,才能降低制度轉(zhuǎn)移銜接成本,高效率完成轉(zhuǎn)移銜接的最好方式。 全文共分為六章,每一章的主要內(nèi)容和思路如下： 第一章為導(dǎo)論,主要分為序言和國(guó)內(nèi)外文獻(xiàn)綜述。序言主要內(nèi)容為該文所要論述的基本問(wèn)題,即問(wèn)題產(chǎn)生的背景和對(duì)問(wèn)題研究存在的意義；國(guó)內(nèi)外文獻(xiàn)綜述主要包括了寫(xiě)作之前所從事的文獻(xiàn)搜集成果,以及對(duì)國(guó)內(nèi)外文獻(xiàn)的思考和想法,為之后的研究做好理論上的準(zhǔn)備。由于農(nóng)民工是在我國(guó)特殊國(guó)情下出現(xiàn)的一個(gè)群體,國(guó)外無(wú)農(nóng)民工的說(shuō)法,因此國(guó)外大部分的文獻(xiàn)多是以流動(dòng)人員為主進(jìn)行的探討；而國(guó)內(nèi)關(guān)于農(nóng)民工醫(yī)療保險(xiǎn)制度的研究主要從兩個(gè)層面出發(fā)：第一個(gè)層面直接以農(nóng)民工為研究對(duì)象探討其醫(yī)療保險(xiǎn)制度問(wèn)題；第二層面是間接地從醫(yī)療保險(xiǎn)制度的城鄉(xiāng)統(tǒng)籌角度來(lái)探討問(wèn)題,其中農(nóng)民工醫(yī)療保險(xiǎn)制度是核心部分。 第二章為背景知識(shí)研究,主要針對(duì)農(nóng)民工以及農(nóng)民工醫(yī)療保險(xiǎn)制度兩個(gè)元素分別進(jìn)行介紹和討論,農(nóng)民工作為我國(guó)獨(dú)有的一個(gè)群體,具有其自身的起源和特征,尤其是目前我國(guó)的“第三代”農(nóng)民工——90后農(nóng)民工的出現(xiàn),對(duì)目前的醫(yī)療保險(xiǎn)制度提出了更多的挑戰(zhàn)。由于我國(guó)各地針對(duì)農(nóng)民工群體出臺(tái)了多種不同的制度和模式,制度之間差異性又過(guò)大,因此衍生出了跨制度轉(zhuǎn)移銜接的問(wèn)題。 第三章為農(nóng)民工醫(yī)療保險(xiǎn)制度的轉(zhuǎn)移接續(xù)現(xiàn)狀研究。該部分在繼承上一章對(duì)于我國(guó)農(nóng)民工醫(yī)療保險(xiǎn)制度現(xiàn)狀的分析后,介紹我國(guó)在農(nóng)民工醫(yī)療保險(xiǎn)制度轉(zhuǎn)移接續(xù)方面做出的一些嘗試和代表模式,試圖能較為全面地了解在該問(wèn)題上我國(guó)的一個(gè)主要發(fā)展概況。該部分以農(nóng)民工醫(yī)療保險(xiǎn)制度與其他不同的醫(yī)療保險(xiǎn)險(xiǎn)種之間的轉(zhuǎn)移銜接為標(biāo)準(zhǔn),針對(duì)每一種制度銜接做出歸類(lèi)比較,并提出一些具有代表意義的地區(qū)作為經(jīng)驗(yàn)借鑒,如重慶,太倉(cāng),珠海等地。通過(guò)對(duì)每個(gè)模式的對(duì)比和分析,總結(jié)出我國(guó)在農(nóng)民工醫(yī)療保險(xiǎn)制度建設(shè)上所遵循的規(guī)律——逐步取消制度的“碎片化”,縮小制度水平的差異,是解決農(nóng)民工醫(yī)療保險(xiǎn)轉(zhuǎn)移銜接的必由之路。 第四章根據(jù)以上對(duì)我國(guó)農(nóng)民工醫(yī)療保險(xiǎn)轉(zhuǎn)移接續(xù)問(wèn)題的一個(gè)現(xiàn)狀調(diào)查分析之后,做出進(jìn)一步的思考闡述。從主要問(wèn)題入手,如繳費(fèi)年限的轉(zhuǎn)移銜接,基金的跨制度劃撥,逐步分析出問(wèn)題產(chǎn)生的根源以及影響該問(wèn)題的核心因素。對(duì)于問(wèn)題的影響因素方面,分別以?xún)?nèi)部和外部?jī)蓚�(gè)角度來(lái)進(jìn)行論述,得出影響我國(guó)農(nóng)民工醫(yī)療保險(xiǎn)制度轉(zhuǎn)移銜接困難的內(nèi)部根源就在于我國(guó)基本醫(yī)療保險(xiǎn)體制發(fā)展的不健全,統(tǒng)籌層次過(guò)低,“碎片化”程度過(guò)高；外部根源則是我國(guó)長(zhǎng)期以來(lái)的城鄉(xiāng)二元體制,影響并阻礙了制度的發(fā)展。 第五章是對(duì)國(guó)外流動(dòng)人員基本醫(yī)療保險(xiǎn)轉(zhuǎn)移銜接的研究。該部分分別從國(guó)際和國(guó)家兩個(gè)層面進(jìn)行了相應(yīng)探討：其一是跨國(guó)間的流動(dòng)帶來(lái)的轉(zhuǎn)移接續(xù)問(wèn)題,其中就包含了許多經(jīng)濟(jì)合作區(qū)域設(shè)立的本區(qū)域內(nèi)的社會(huì)保障公約和協(xié)議,以保障成員國(guó)公民在本區(qū)域內(nèi)流動(dòng)時(shí)的社會(huì)保險(xiǎn)待遇問(wèn)題；另一個(gè)則是一國(guó)內(nèi)跨地之間流動(dòng)的醫(yī)療保險(xiǎn)轉(zhuǎn)移銜接經(jīng)驗(yàn),比較具有代表性的國(guó)家多是一些經(jīng)濟(jì)發(fā)達(dá)國(guó)家,而還有部分國(guó)家則是通過(guò)實(shí)現(xiàn)全民基本醫(yī)療的方式間接地解決了流動(dòng)人員的基本醫(yī)療需求的問(wèn)題。從這兩個(gè)層面得出一些規(guī)律和特性。進(jìn)而為文章最終提出政策建議提供參考。 第六章為本文的最后一章,主要介紹針對(duì)我國(guó)農(nóng)民工醫(yī)療保險(xiǎn)制度轉(zhuǎn)移接續(xù)問(wèn)題的對(duì)策建議,在該部分筆者提出了農(nóng)民工醫(yī)療保險(xiǎn)制度的最終發(fā)展模式——“二位一體”的國(guó)民基本醫(yī)療保險(xiǎn)體制。實(shí)現(xiàn)最終模式的路徑需要分別從內(nèi)部和外部?jī)蓚�(gè)方面進(jìn)行改善和發(fā)展,主要觀點(diǎn)為唯有加快我國(guó)城鄉(xiāng)一體化建設(shè)的進(jìn)度,加快實(shí)現(xiàn)城鎮(zhèn)化,實(shí)現(xiàn)城鄉(xiāng)居民的平等公平發(fā)展,才能在整體層面上提升我國(guó)醫(yī)療保險(xiǎn)制度的高度；另一方面,加快我國(guó)醫(yī)療保險(xiǎn)制度的建設(shè),逐步提高統(tǒng)籌層次,兼并醫(yī)療保險(xiǎn)制度的“碎片”,減少制度險(xiǎn)種,實(shí)現(xiàn)制度的一致性和統(tǒng)一性,才能更進(jìn)一步的實(shí)現(xiàn)制度的順暢轉(zhuǎn)移銜接。 本文的研究方法是以文獻(xiàn)研究作為前提和基礎(chǔ),以實(shí)證研究為手段,通過(guò)定性分析和部分?jǐn)?shù)據(jù)分析,使得文章的邏輯和內(nèi)容顯得盡量清晰和可靠。本文是作者平時(shí)的科研成果中總結(jié)和提煉出的一部分,是經(jīng)過(guò)長(zhǎng)期的思索和考證的成果,其中部分?jǐn)?shù)據(jù)和結(jié)論是作者在實(shí)地調(diào)查后得到的,具有充分的可靠性和有效性。 本文的創(chuàng)新之處在于：首先文章緊握政策脈搏,掌握最新的政策動(dòng)態(tài)和信息,對(duì)部分代表地區(qū)的數(shù)據(jù)和信息做過(guò)詳細(xì)的分析和對(duì)比,也通過(guò)電話采訪的方式對(duì)代表地區(qū)負(fù)責(zé)人進(jìn)行訪談,深入了解政策制定背后的考量,更加有助于對(duì)政策的深入理解和分析；此外文章最終提出了我國(guó)農(nóng)民工醫(yī)療保險(xiǎn)制度轉(zhuǎn)移銜接的發(fā)展模式——“二位一體”的國(guó)民基本醫(yī)療保險(xiǎn)模式,提出通過(guò)逐步消除制度的“碎片化”和平衡制度間的水平差距來(lái)減輕和消除制度轉(zhuǎn)移銜接的成本和障礙的路徑建議。
[Abstract]:As one of the important guarantee systems in the social insurance system , the social medical insurance system aims at satisfying the basic medical needs of the general population , reducing the medical cost , and finally realizing the basic health rights and interests of the general public .
The third category is a rare local comprehensive medical insurance system , which is currently held only in Shanghai ;
In the last category , the migrant workers are included in the basic medical insurance system of urban and rural residents . However , there is a problem that the social medical insurance of the migrant workers can not smoothly transfer the connection when the migrant workers transform the duty station or the place of residence , so how to solve the problem of the transfer and cohesion of the medical insurance system of migrant workers has become a topic which has been widely watched and discussed in the government and the academic community in recent years .

Based on the origin of the rural migrant workers and the rural migrant workers ' medical insurance system , this paper studies the transfer connection of the rural migrant workers ' medical insurance system gradually .

The full text is divided into six chapters , the main contents and thinking of each chapter are as follows :

The first chapter is the introduction , which is mainly divided into the preface and the literature review at home and abroad . The main contents of the preface are the basic problems to be discussed in this paper , namely the background of the problem and the significance of the research on the problem ;
At home and abroad , the literature review mainly includes the literature collection results before writing , as well as the thinking and thinking of the literature at home and abroad , which is the theoretical preparation for the later research . As the migrant workers are a group that appears in our country ' s special circumstances , there are no migrant workers abroad , so most of the literatures abroad are mainly based on mobile workers ;
At the first level , we discuss the medical insurance system directly with the migrant workers .
The second level is indirectly from the urban - rural integration angle of the medical insurance system , in which the rural migrant workers medical insurance system is the core part .

The second chapter introduces and discusses the background knowledge , mainly aiming at the rural migrant workers and the two elements of the rural migrant workers ' medical insurance system . The migrant workers , as a special group in our country , have their own origin and characteristics , especially the emergence of the " third generation " migrant workers in our country .

The third chapter introduces the current situation of rural migrant workers ' medical insurance system . After analyzing the current situation of migrant workers ' medical insurance system in China , this part introduces some attempts and representative patterns of China ' s transfer of medical insurance system of migrant workers .

In the fourth chapter , according to the above analysis of the current situation of the transfer of medical insurance for migrant workers in China , the author makes a further consideration . From the main problems , such as the transfer of payment years , the cross - system allocation of funds , the root causes of problems and the core factors that influence the problem are analyzed .
The external root cause is China ' s long - term urban and rural dual system , which has hindered the development of the system .

The fifth chapter deals with the connection of the transfer of basic medical insurance for foreign mobile workers , which are discussed from the international and national levels respectively : one is the transfer succession of cross - border movement , which includes the social security conventions and agreements in the region set up by many economic cooperation regions , so as to guarantee the social insurance treatment problem of citizens of member countries in the region ;
The other is the transfer of medical insurance transfer between domestic and trans - lands , and more representative countries are economically developed countries , while others indirectly solve the problem of basic medical needs of mobile workers through the way of realizing universal basic medical care . Some laws and characteristics are drawn from these two levels .

The sixth chapter is the final chapter of this paper , mainly introduces the countermeasure suggestion for the transfer connection problem of the rural migrant workers medical insurance system . In this part , the author puts forward the basic medical insurance system of the national basic medical insurance system of the migrant worker ' s medical insurance system . The path of the final mode needs to be improved and developed from both inside and outside . The main point of view is that only the progress of the urban and rural integration construction is accelerated , the urbanization is accelerated , the equal and equitable development of the urban and rural residents can be realized , and the height of the medical insurance system in China can be promoted at the whole level ;
On the other hand , accelerate the construction of the medical insurance system in our country , gradually improve the integrated level , combine the " debris " of the medical insurance system , reduce the system risks , realize the consistency and unity of the system , and realize the smooth transfer of the system .

The research method of this paper is based on the literature research , by qualitative analysis and partial data analysis , so that the logic and content of the article appear as clear and reliable as possible . This paper is a part of summarizing and refining the results of the author ' s ordinary scientific research . Some of the data and conclusions are obtained after the field investigation , and have sufficient reliability and effectiveness .

The innovation of this paper is : Firstly , the author holds the policy pulse , grasps the latest policy dynamics and information , makes detailed analysis and comparison of the data and information in the part of the representative area , and interviews the representative district head by telephone interview . It is helpful to deeply understand and analyze the policy .
In addition , the paper finally puts forward the development model of the transfer of the rural migrant workers ' medical insurance system and the basic medical insurance model of the national basic medical insurance , and puts forward the path suggestion to reduce and eliminate the cost and obstacle of the system transfer connection through the gradual elimination of the gap between the " fragmentation " and the balance system .

【學(xué)位授予單位】：西南財(cái)經(jīng)大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類(lèi)號(hào)】：F842.684

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 王東進(jìn);;構(gòu)建覆蓋城鄉(xiāng)的醫(yī)療保障體系的戰(zhàn)略步驟[J];中國(guó)勞動(dòng)保障;2008年08期

2 袁澤春;;珠海:探路全民醫(yī)保[J];中國(guó)勞動(dòng)保障;2008年08期

3 刁孝華;譚湘渝;;我國(guó)醫(yī)療保障體系的構(gòu)建時(shí)序與制度整合[J];財(cái)經(jīng)科學(xué);2010年03期

4 楊小麗;張亮;馮澤永;;構(gòu)建城鄉(xiāng)統(tǒng)籌醫(yī)療保障制度的核心議題[J];重慶醫(yī)學(xué);2009年21期

5 陳愛(ài)如;;分層與銜接:構(gòu)建醫(yī)療社會(huì)保障城鄉(xiāng)一體化——基于對(duì)W市的調(diào)查[J];遼東學(xué)院學(xué)報(bào)(社會(huì)科學(xué)版);2010年03期

6 仇雨臨;郝佳;龔文君;;統(tǒng)籌城鄉(xiāng)醫(yī)療保障制度的模式與思考——以太倉(cāng)、成都為例[J];湖北大學(xué)學(xué)報(bào)(哲學(xué)社會(huì)科學(xué)版);2010年02期

7 楊宜勇;譚永生;;全國(guó)統(tǒng)一社會(huì)保險(xiǎn)關(guān)系接續(xù)研究[J];宏觀經(jīng)濟(jì)研究;2008年04期

8 胡務(wù);;農(nóng)民工大病醫(yī)療險(xiǎn)與城鎮(zhèn)基本醫(yī)療險(xiǎn)的銜接[J];經(jīng)濟(jì)管理;2007年09期

9 董克用;王丹;;歐盟社會(huì)保障制度國(guó)家間協(xié)調(diào)機(jī)制及其啟示[J];經(jīng)濟(jì)社會(huì)體制比較;2008年04期

10 廖丹萍;邸信;;城鄉(xiāng)居民醫(yī)療保險(xiǎn)管理機(jī)構(gòu)的過(guò)渡問(wèn)題研究[J];技術(shù)與市場(chǎng);2011年06期

相關(guān)博士學(xué)位論文 前2條

1 湯曉莉;社會(huì)醫(yī)療保險(xiǎn)可攜帶性政策研究[D];華中科技大學(xué);2010年

2 徐寧;統(tǒng)籌城鄉(xiāng)醫(yī)療保障研究[D];武漢大學(xué);2010年

，

本文編號(hào)：1735235