摘要:在我国城乡共同快速发展的背景下,构建城乡居民医疗保险一体化是必然选择。通过对现阶段推行一体化制度的实际状况进行分析,得出了推行一体化正面临着户籍制度的差异性、城乡经济差距、医疗卫生条件的差距和财政支出结构的分配不均这四种困境。同时结合国内外成功案例的经验,提出了加快户籍制度改革、协调经济发展、优化财政结构、统一机制和管理和不断探索发展完善医保这五点建议。50323
毕业论文关键词: 城镇居民医疗保险;新型农村合作医疗保险;一体化 全民医保
The Integration of Urban And Rural Residents Medical Insurance in Our Country
Under the background of urban and rural areas of our country fast development, establishing the integration of urban and rural residents medical insurance is the inevitable choice. At this stage of the implementation of the integration system of the actual situation, through the analysis, it is concluded that the implementation of the integration is facing the differences in the household registration system, the economic gap between urban and rural areas, the distribution of medical and health conditions of the gap and the fiscal expenditure structure are the four kinds of dilemma. In addition, according to the experience of successful cases at home and abroad, put forward to accelerate the reform of the household registration system, coordinate the economic development and optimize the financial structure, mechanism and a unified management and will continue to explore the development of improvement of health care the five suggestions.
Keywords:Medical insurance for urban residents ;The new rural cooperative medical insurance;Integration;Universal health care
目 录
摘 要 1
Abstract 1
一、城乡医疗保险一体化理论概述 2
(一)城乡医疗保险一体化的有关理论 2
(二)构建社会医疗保险一体化制度基本理论思路 3
二、 城乡居民医疗保险一体化面临的困境 5
(一)户籍制度的差异性 5
(二)现阶段我国城乡经济差距 5
(三)城乡医疗卫生条件差距 5
(四)财政支出结构分配不均 6
三、构建城乡居民医疗保险一体化的经验借鉴 6
(一)国外城乡居民医疗保险一体化制度借鉴 6
(二)国内试点地区城乡居民医疗保险一体化模式借鉴 7
四、构建城乡居民医疗保险一体化的对策建议 8
(一)加快户籍改革,尽快完成城乡居民户籍制度一元化 8
(二)协调城乡经济发展,积极推进农村产业框架调整 9
(三)优化财政支出结构,构建城乡一体化医保制度构建 9
(四)统一机制和管理,加强城乡居民基本医疗保险制度的整合 10
(五)不懈探索发展,完善全民医保 10
参考文献 11
致谢 12
我国城乡居民医疗保险一体化制度研究
前言
在中国第十八次代表大会当中,胡锦涛主席专门提到了城乡医疗保险制度,强调了其发展在我国建设社会主义和谐社会中的重要作用。由于我国特殊的社会结构,医疗资源在分配上仍存在严重的不均匀现象,农村居民和城镇居民所享受的医疗条件仍然差距较大。当前随着城镇化的深入发展,农村居民的生活条件有了很大的提高,为了更好的满足城乡居民在医疗上的需求,构建城乡医疗保险一体化制度是我国改善民生的必然选择。