本文選題：社會(huì)醫(yī)療保險(xiǎn)制度 + 改革歷程��； 參考：《湘潭大學(xué)》2014年碩士論文

【摘要】：改革開(kāi)放以來(lái)，我國(guó)各方面事業(yè)都得到發(fā)展。經(jīng)濟(jì)發(fā)展、居民生活水平提高，但是問(wèn)題也接踵而來(lái)，中國(guó)的收入分配不公的問(wèn)題也在逐漸突顯。我國(guó)政府為改善收入分配不平等的問(wèn)題采取了多種政策措施，，比如建立社會(huì)醫(yī)療保障體系。 為實(shí)現(xiàn)收入水平低的人群也能得到有效的公共醫(yī)療服務(wù)，緩解由疾病造成的收入分配不平等問(wèn)題，我國(guó)政府不斷推動(dòng)社會(huì)醫(yī)療保險(xiǎn)制度改革�；谶@個(gè)背景，測(cè)度政府實(shí)行的社會(huì)醫(yī)療保險(xiǎn)制度的收入分配效果是本文關(guān)注的焦點(diǎn)。本文以福利經(jīng)濟(jì)學(xué)理論為基礎(chǔ)，從社會(huì)醫(yī)療保險(xiǎn)制度的醫(yī)療服務(wù)提供、醫(yī)療服務(wù)的利用以及籌資情況三個(gè)方面來(lái)分析。以醫(yī)療改革大事件為線索，將我國(guó)的社會(huì)醫(yī)療保險(xiǎn)制度改革分為三個(gè)大的方面：第一階段，20世紀(jì)50年代初期-20世紀(jì)80年代初期為計(jì)劃市場(chǎng)時(shí)期；第二階段，20世紀(jì)80年代初期-1993年為市場(chǎng)經(jīng)濟(jì)過(guò)渡時(shí)期；第三階段，1994年-2012年為市場(chǎng)經(jīng)濟(jì)完善時(shí)期。使用中國(guó)營(yíng)養(yǎng)與健康調(diào)查數(shù)據(jù)CHNS，從宏觀層面計(jì)算綜合的社會(huì)醫(yī)療保險(xiǎn)制度的收入再分配效果，來(lái)深層次分析研究社會(huì)醫(yī)療保險(xiǎn)制度緩解我國(guó)社會(huì)的收入不平等情況的效果。為了更加全面的分析，本文又測(cè)度了不同醫(yī)療社會(huì)保障制度的收入再分配效果，探討了社會(huì)醫(yī)療保險(xiǎn)制度的三種制度何種可以更好的起到縮小社會(huì)的收入差距，改善社會(huì)的收入分配效果。 研究結(jié)果表明：（1）居民的醫(yī)療費(fèi)用支付會(huì)使得社會(huì)的基尼系數(shù)上升，加劇社會(huì)的收入不平等，反映了居民的醫(yī)療費(fèi)用支付的確是擴(kuò)大社會(huì)收入分配差距的因素之一。中國(guó)社會(huì)醫(yī)療保險(xiǎn)制度實(shí)施補(bǔ)償后社會(huì)的基尼系數(shù)會(huì)下降，表明中國(guó)社會(huì)醫(yī)療保險(xiǎn)制度從社會(huì)全局的角度改善了我國(guó)的收入分配效果。（2）居民群體的收入越低，每人醫(yī)療費(fèi)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(fù)擔(dān)相對(duì)更重些。（3）城鎮(zhèn)每人醫(yī)療費(fèi)用支付占每人收入的比率都遠(yuǎn)遠(yuǎn)低于農(nóng)村，城鎮(zhèn)相對(duì)農(nóng)村的醫(yī)療支付費(fèi)用負(fù)擔(dān)會(huì)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(xué)位授予單位】：湘潭大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類(lèi)號(hào)】：F124.7;F842.684;R197.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 許永建;任建萍;高啟勝;劉建武;;基本藥物制度下基層醫(yī)療衛(wèi)生機(jī)構(gòu)補(bǔ)償方式研究與實(shí)踐進(jìn)展[J];現(xiàn)代醫(yī)院管理;2011年03期

2 楊穗;高琴;李實(shí);;中國(guó)社會(huì)福利和收入再分配:1988—2007年[J];經(jīng)濟(jì)理論與經(jīng)濟(jì)管理;2013年03期

3 李旭章;龍小燕;;英國(guó)醫(yī)療公共服務(wù)改革與借鑒[J];經(jīng)濟(jì)研究參考;2013年20期

4 崔英楠;曾云;;我國(guó)社會(huì)保障制度公平性之缺失與矯正[J];遼寧大學(xué)學(xué)報(bào)(哲學(xué)社會(huì)科學(xué)版);2013年06期

5 潘杰;雷曉燕;劉國(guó)恩;;醫(yī)療保險(xiǎn)促進(jìn)健康嗎?——基于中國(guó)城鎮(zhèn)居民基本醫(yī)療保險(xiǎn)的實(shí)證分析[J];經(jīng)濟(jì)研究;2013年04期

6 王云嶺;;我國(guó)醫(yī)療保障制度面臨的道德風(fēng)險(xiǎn)與防范對(duì)策——從儒家醫(yī)療正義觀的視角出發(fā)[J];山東大學(xué)學(xué)報(bào)(哲學(xué)社會(huì)科學(xué)版);2013年05期

7 于永紅,劉英偉,李斌;衛(wèi)生籌資不公平性探究[J];中國(guó)衛(wèi)生經(jīng)濟(jì);2005年06期

8 吳傳儉;;進(jìn)城務(wù)工人員集中城市社會(huì)醫(yī)療保險(xiǎn)模式研究[J];中國(guó)衛(wèi)生經(jīng)濟(jì);2010年07期

9 許崇偉;許岸高;喻星e

本文編號(hào)：1763356