濟寧市城鎮(zhèn)基本醫(yī)療保險制度運行與完善研究
發(fā)布時間：2018-12-23 09:53
【摘要】：醫(yī)療保險制度是我國社會保障制度改革的重要內(nèi)容，其成敗與否直接關(guān)系到廣大人民群眾的切身利益和社會穩(wěn)定，濟寧市自2001年開始啟動城鎮(zhèn)職工醫(yī)療保險制度改革，利用近10年的時間基本完成了制度覆蓋，體系不斷完善，廣大城鎮(zhèn)人員被納入醫(yī)療保險體系，，其醫(yī)療需求得到切實保障。但是，濟寧市城鎮(zhèn)醫(yī)療保險制度在運行過程中也暴露許多現(xiàn)實的問題，說明濟寧市目前的醫(yī)療保險制度在許多方面還需要進(jìn)一步完善和規(guī)范。本文旨在對濟寧市現(xiàn)行的醫(yī)療保險保險制度進(jìn)行研究，分析現(xiàn)行制度在管理和運行方面的缺陷，在借鑒國內(nèi)外對醫(yī)療保險制度建設(shè)的理論及實踐基礎(chǔ)上，提出了解決、完善濟寧市城鎮(zhèn)醫(yī)療保險制度的對策建議。 文章分為五部分： 第一部分介紹醫(yī)療保險制度的內(nèi)涵、建立、國外醫(yī)療保險模式及其借鑒作用。 第二部分介紹了我國城鎮(zhèn)基本醫(yī)療保險制度的發(fā)展歷程，發(fā)展形式，對完善我國城鎮(zhèn)基本醫(yī)療保險制度的必要性展開了充分論述。 第三部分介紹濟寧市城鎮(zhèn)基本醫(yī)療保險制度現(xiàn)狀運行情況，創(chuàng)新性的做法及在制度運行過程中存在的問題。 第四部分就完善濟寧市城鎮(zhèn)醫(yī)療保險制度從整合管理體制，加快推進(jìn)城鄉(xiāng)一體化醫(yī)療保障機制建設(shè)；健全信息平臺，提升經(jīng)辦服務(wù)水平；完善監(jiān)管體系，確�；鸢踩\營；完善配套政策，切實保障參保人員醫(yī)療待遇；規(guī)范醫(yī)療服務(wù)行為，促進(jìn)城鎮(zhèn)基本醫(yī)療保險制度健康平穩(wěn)運行五個方面闡述。 第五部分為全文的結(jié)束語。
[Abstract]:The medical insurance system is an important part of the social security system reform in our country. Its success or failure is directly related to the vital interests of the broad masses of the people and social stability. Jining City has started the reform of the urban workers' medical insurance system since 2001. In the past 10 years, the system has been basically covered, and the system has been continuously improved. The vast number of urban personnel have been brought into the medical insurance system, and their medical needs have been ensured. However, there are many practical problems in the operation of the medical insurance system in Jining, which shows that the current medical insurance system in Jining needs to be further improved and standardized in many aspects. The purpose of this paper is to study the current medical insurance system in Jining City, analyze the defects in the management and operation of the current system, and put forward a solution on the basis of drawing lessons from the theory and practice of the medical insurance system construction at home and abroad. Countermeasures and suggestions for perfecting the urban medical insurance system in Jining. The article is divided into five parts: the first part introduces the connotation of the medical insurance system, the establishment of the foreign medical insurance model and its reference role. The second part introduces the development course and development form of the basic medical insurance system in cities and towns in China, and discusses the necessity of perfecting the basic medical insurance system in cities and towns in China. The third part introduces the current situation of the basic medical insurance system in Jining, the innovative methods and the problems in the operation of the system. The fourth part is to perfect Jining's urban medical insurance system from the integrated management system, accelerate the construction of urban-rural integration medical security mechanism, improve the information platform, enhance the level of administrative services, improve the supervision system to ensure the safe operation of the fund; Perfecting the supporting policies, ensuring the medical treatment of the insured personnel, standardizing the medical service behavior and promoting the healthy and stable operation of the basic medical insurance system in cities and towns are expounded in five aspects. The fifth part is the conclusion of the full text.
【學(xué)位授予單位】：山東師范大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：F842.684
本文編號：2389806
[Abstract]:The medical insurance system is an important part of the social security system reform in our country. Its success or failure is directly related to the vital interests of the broad masses of the people and social stability. Jining City has started the reform of the urban workers' medical insurance system since 2001. In the past 10 years, the system has been basically covered, and the system has been continuously improved. The vast number of urban personnel have been brought into the medical insurance system, and their medical needs have been ensured. However, there are many practical problems in the operation of the medical insurance system in Jining, which shows that the current medical insurance system in Jining needs to be further improved and standardized in many aspects. The purpose of this paper is to study the current medical insurance system in Jining City, analyze the defects in the management and operation of the current system, and put forward a solution on the basis of drawing lessons from the theory and practice of the medical insurance system construction at home and abroad. Countermeasures and suggestions for perfecting the urban medical insurance system in Jining. The article is divided into five parts: the first part introduces the connotation of the medical insurance system, the establishment of the foreign medical insurance model and its reference role. The second part introduces the development course and development form of the basic medical insurance system in cities and towns in China, and discusses the necessity of perfecting the basic medical insurance system in cities and towns in China. The third part introduces the current situation of the basic medical insurance system in Jining, the innovative methods and the problems in the operation of the system. The fourth part is to perfect Jining's urban medical insurance system from the integrated management system, accelerate the construction of urban-rural integration medical security mechanism, improve the information platform, enhance the level of administrative services, improve the supervision system to ensure the safe operation of the fund; Perfecting the supporting policies, ensuring the medical treatment of the insured personnel, standardizing the medical service behavior and promoting the healthy and stable operation of the basic medical insurance system in cities and towns are expounded in five aspects. The fifth part is the conclusion of the full text.
【學(xué)位授予單位】：山東師范大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：F842.684
【參考文獻(xiàn)】
相關(guān)期刊論文 前10條
1 刁孝華;譚湘渝;;我國醫(yī)療保障體系的構(gòu)建時序與制度整合[J];財經(jīng)科學(xué);2010年03期
2 鄭功成;;中國醫(yī)療保障改革與發(fā)展戰(zhàn)略——病有所醫(yī)及其發(fā)展路徑[J];東岳論叢;2010年10期
3 梁鴻;趙德余;;中國基本醫(yī)療保險制度改革解析[J];復(fù)旦學(xué)報(社會科學(xué)版);2007年01期
4 金漢鵬;李賦明;;醫(yī)保定點機構(gòu)管理亟待完善[J];中國人力資源社會保障;2010年05期
5 王芳;;堵漏洞禁違規(guī) 規(guī)范醫(yī)保定點[J];中國人力資源社會保障;2013年02期
6 顧昕;走向有管理的市場化:中國醫(yī)療體制改革的戰(zhàn)略性選擇[J];經(jīng)濟社會體制比較;2005年06期
7 叢亮;;國外醫(yī)療保險制度對我國的啟示[J];遼寧醫(yī)學(xué)院學(xué)報(社會科學(xué)版);2009年03期
8 朱勤;;關(guān)于我國醫(yī)療社會保險制度改革的思考[J];科技經(jīng)濟市場;2007年06期
9 單大圣;;養(yǎng)老保險管理體制的問題與對策[J];黑龍江社會科學(xué);2012年05期
10 賀月檸;;淺談定點醫(yī)院醫(yī)保管理中醫(yī)�；贾g的矛盾及對策[J];疾病監(jiān)測與控制;2013年01期
本文編號：2389806
本文鏈接：http://www.lk138.cn/jingjilunwen/bxjjlw/2389806.html
最近更新
教材專著
