太原市新型农村合作医疗制度问题研究

发布时间：2018-04-28 04:04

本文选题：社会保障 + 太原市新型农村合作医疗制度　；参考：《山西财经大学》2014年硕士论文

【摘要】：医疗保险制度是我国社会保障事业的重点，医疗资源的合理配置是人民健康得以保障的前提，关系到最广大人民的切身利益。太原市基本医疗保险制度起步较晚，于2003年开始新型农村合作医疗制度试点工作，由于太原市长期实行城乡二元经济结构和社会结构，城乡基本医疗保险制度存在差异性。与城镇相比，，太原市农村社会保障体系保障项目少且覆盖的人数比重小，虽然近年来新型农村合作医疗保险制度覆盖率和参合率都有很大提升,但是补偿保障水平与社会满意度依然很低。由此可见，太原市目前的新型农村合作医疗保险制度存在缺陷,只能在一定程度上缓解农民因病致贫、因病返贫的负担,由于保障水平偏低,不能从根本上解决农民因病致贫、因病返贫的问题。本文在充分分析太原市新型农村合作医疗制度的基础上，采用文献综述法、实地调研法、比较研究方法以及定性分析与定量研究相结合的方式，首先分析了国内外对新型农村合作医疗制度的研究以及对本文所需概念和理论支撑进行深入分析，包括社会保障制度、医疗保险制度和医疗保险城乡统筹概念的界定以及福利经济学理论、医疗保险特殊性理论、二元经济结构理论、城乡一体化理论；其次，深入研究了太原市农村合作医疗保险制度的发展历程，包括传统农村合作医疗制度的发展历程以及新型农村合作医疗制度的发展历程；再次，通过对基金筹集、医疗服务资源及补偿制度等方面的研究，深入分析了太原市新型农村合作医疗制度的供需情况和运行现状，从中发现了现阶段太原市新型农村合作医疗制度存在农村内部医疗供需失衡以及运行中的问题及原因最终提出了完善监督管理机制、提高医疗资源服务水平、健全基金筹集和补偿制度、走城乡一体化道路，从而为太原市新型农村合作医疗制度的可持续发展提出了建议和对策。
[Abstract]:The medical insurance system is the focal point of the social security in our country. The rational allocation of the medical resources is the premise of the people's health protection and relates to the vital interests of the vast majority of the people. The basic medical insurance system of Taiyuan started late, and the pilot work of the new rural cooperative medical insurance system began in 2003. Due to the long-term dual economic structure and social structure of urban and rural areas, there are differences between urban and rural basic medical insurance system. Compared with the cities and towns, the rural social security system in Taiyuan has fewer and smaller proportion of the number of people covered, although the coverage and participation rate of the new rural cooperative medical insurance system have greatly improved in recent years. But the level of compensation and social satisfaction is still very low. Thus, it can be seen that the current new rural cooperative medical insurance system in Taiyuan has defects, which can only alleviate the burden of peasants' poverty caused by illness and return to poverty due to illness to a certain extent. Due to the low level of security, it cannot fundamentally solve the problem of peasants' poverty caused by illness. The problem of returning to poverty as a result of illness. Based on the full analysis of the new rural cooperative medical system in Taiyuan, this paper adopts the literature review method, the field investigation method, the comparative research method and the combination of qualitative analysis and quantitative research. First of all, it analyzes the research on the new rural cooperative medical system at home and abroad, as well as the concept and theoretical support needed in this paper, including the social security system. The definition of medical insurance system and the concept of urban and rural planning of medical insurance, as well as the theory of welfare economics, the theory of particularity of medical insurance, the theory of dual economic structure, the theory of urban-rural integration; secondly, The development of rural cooperative medical insurance system in Taiyuan, including the development of the traditional rural cooperative medical system and the development of the new rural cooperative medical system. Thirdly, through raising funds, the paper studies the development process of rural cooperative medical insurance system in Taiyuan, including the development process of traditional rural cooperative medical system and the new rural cooperative medical system. Based on the research of medical service resources and compensation system, this paper deeply analyzes the supply and demand of the new rural cooperative medical system in Taiyuan and its current operating situation. It is found that there is imbalance between the supply and demand of medical service in the new rural cooperative medical system in Taiyuan at the present stage, and the problems and reasons in operation finally put forward to improve the supervision and management mechanism and improve the service level of medical resources. Perfecting the system of fund raising and compensation, taking the road of urban-rural integration, and putting forward suggestions and countermeasures for the sustainable development of the new rural cooperative medical system in Taiyuan.
【学位授予单位】：山西财经大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：F842.684;F323.89;R197.1

【参考文献】