本文選題：生育保障體系 + 生育保險(xiǎn)待遇　； 參考：《天津財(cái)經(jīng)大學(xué)》2014年碩士論文

【摘要】：從世界范圍中來(lái)看,與人們息息相關(guān)的社會(huì)保障是隨著生產(chǎn)力的發(fā)展而逐步產(chǎn)生和發(fā)展起來(lái)的,各國(guó)的生育保險(xiǎn)是社會(huì)保障制度體系中的重要部分。孕產(chǎn)婦生育是對(duì)人類繁衍及生產(chǎn)力創(chuàng)造以及社會(huì)進(jìn)步的巨大貢獻(xiàn)。世界各國(guó)都十分重視生育制度和生育保障體系的發(fā)展與完善。到目前為止,全世界大部分地區(qū)都建立了生育保障體系,雖然形式不盡相同,但實(shí)質(zhì)和目的都是一致的。當(dāng)前,我國(guó)的生育保障體系主要由四部分組成：第一部分是城鎮(zhèn)職工生育保險(xiǎn),這也是目前我國(guó)最完善的生育保障項(xiàng)目；第二部分是城鎮(zhèn)居民基本醫(yī)療保險(xiǎn)制度中對(duì)城鎮(zhèn)戶籍孕產(chǎn)婦住院分娩醫(yī)療費(fèi)用補(bǔ)償?shù)南嚓P(guān)規(guī)定；第三部分是新型農(nóng)村合作醫(yī)療保險(xiǎn)制度中對(duì)農(nóng)村孕產(chǎn)婦住院分娩醫(yī)療費(fèi)用補(bǔ)償?shù)南嚓P(guān)規(guī)定,同城鎮(zhèn)居民基本醫(yī)療保險(xiǎn)一樣,都處于起步階段,還有待于發(fā)展和完善；第四部分是由國(guó)家財(cái)政部和原衛(wèi)生部為提高農(nóng)村孕產(chǎn)婦住院分娩率,減少孕產(chǎn)婦死亡率和嬰兒死亡率而共同啟動(dòng)的農(nóng)村孕產(chǎn)婦住院分娩補(bǔ)助項(xiàng)目。這些政策的實(shí)施大大推動(dòng)了我國(guó)生育保障范圍的擴(kuò)大、待遇水平的提高以及社會(huì)保障制度的發(fā)展,與此同時(shí),我們也應(yīng)該認(rèn)識(shí)到,我國(guó)生育保障體系還存在立法缺失,沒有全國(guó)統(tǒng)一的法律規(guī)范；支付待遇地域差距較大,不利于社會(huì)公平；生育保障待遇水平不高,部分孕產(chǎn)婦住院分娩負(fù)擔(dān)仍然較重；管理混亂等多個(gè)方面的問題。筆者運(yùn)用文獻(xiàn)研究法、實(shí)地調(diào)研法、DRGs成本核算法和資料分析法,以北京市、湖北省和四川省為例,從我國(guó)生育保障體系的實(shí)際狀況出發(fā),立足于我國(guó)孕產(chǎn)婦生育保障待遇的現(xiàn)狀,通過測(cè)算樣本地區(qū)孕產(chǎn)婦住院分娩所需成本,并與各個(gè)生育保障項(xiàng)目的待遇水平進(jìn)行比較分析,同時(shí)對(duì)樣本地區(qū)醫(yī)院醫(yī)護(hù)人員、孕產(chǎn)婦等進(jìn)行實(shí)地走訪調(diào)查,找出當(dāng)前我國(guó)生育保障制度存在的問題、管理機(jī)構(gòu)和孕產(chǎn)婦存在的困難,分別從立法、生育保障基金來(lái)源、運(yùn)作及管理方式、相關(guān)手續(xù)、待遇水平等方面,對(duì)進(jìn)一步完善我國(guó)生育保障體系提出了改革建議和設(shè)想。
[Abstract]:From the point of view of the world, the social security, which is closely related to people, comes into being and develops gradually with the development of productive forces. The birth insurance of various countries is an important part of the social security system. Maternal fertility is a great contribution to human reproduction, productivity creation and social progress. Countries all over the world attach great importance to the development and improvement of fertility system and reproductive security system. So far, reproductive protection systems have been established in most parts of the world, in varying forms, but in substance and purpose. At present, the birth security system of our country is mainly composed of four parts: the first part is the birth insurance for urban workers, which is also the most perfect maternity security project in our country at present; The second part is the urban residents of the basic medical insurance system to the urban household registration maternity hospital delivery medical expenses compensation related provisions; The third part is the new rural cooperative medical insurance system for rural pregnant and lying-in hospital delivery medical expenses compensation related provisions, like the basic medical insurance of urban residents, are in the initial stage, but also need to be developed and improved; The fourth part is the rural maternity hospital delivery subsidy project which was jointly started by the Ministry of Finance and the former Ministry of Health in order to improve the rate of hospital delivery of rural pregnant and lying-in women and reduce the maternal mortality and infant mortality. The implementation of these policies has greatly promoted the expansion of the scope of maternity security in China, the improvement of the treatment level and the development of the social security system. At the same time, we should also realize that there is still a lack of legislation in our reproductive security system. There is no unified national legal norms; pay treatment regional gap is not conducive to social equity; maternity security treatment level is not high some pregnant women in hospital delivery burden is still heavy; management confusion and other aspects of the problems. The author uses the method of literature research, field investigation, DRGs cost accounting and data analysis, taking Beijing, Hubei and Sichuan Province as examples, starting from the actual situation of China's fertility security system. Based on the current situation of maternity security treatment in China, this paper calculates the cost of in-hospital delivery of pregnant and lying-in women in the sample area, and makes a comparative analysis with the treatment level of various maternity security items. At the same time, the hospital medical staff in the sample area are analyzed. In order to find out the problems existing in the current reproductive security system, the difficulties existing in the management agencies and the pregnant and lying-in women, and to find out the legislation, the source of the maternity protection fund, the operation and management methods, and the relevant procedures, In the aspect of treatment level and so on, the author puts forward the reform suggestion and assumption to further consummate our country's fertility security system.
【學(xué)位授予單位】：天津財(cái)經(jīng)大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：F842.617;F842.684

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