發(fā)布時(shí)間：2018-12-23 09:53

【摘要】：醫(yī)療保險(xiǎn)制度是我國(guó)社會(huì)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(huì)穩(wěn)定，濟(jì)寧市自2001年開始啟動(dòng)城鎮(zhèn)職工醫(yī)療保險(xiǎn)制度改革，利用近10年的時(shí)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(xiǎn)體系，，其醫(yī)療需求得到切實(shí)保障。但是，濟(jì)寧市城鎮(zhèn)醫(yī)療保險(xiǎn)制度在運(yùn)行過程中也暴露許多現(xiàn)實(shí)的問題，說明濟(jì)寧市目前的醫(yī)療保險(xiǎn)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(duì)濟(jì)寧市現(xiàn)行的醫(yī)療保險(xiǎn)保險(xiǎn)制度進(jìn)行研究，分析現(xiàn)行制度在管理和運(yùn)行方面的缺陷，在借鑒國(guó)內(nèi)外對(duì)醫(yī)療保險(xiǎn)制度建設(shè)的理論及實(shí)踐基礎(chǔ)上，提出了解決、完善濟(jì)寧市城鎮(zhèn)醫(yī)療保險(xiǎn)制度的對(duì)策建議。 文章分為五部分： 第一部分介紹醫(yī)療保險(xiǎn)制度的內(nèi)涵、建立、國(guó)外醫(yī)療保險(xiǎn)模式及其借鑒作用。 第二部分介紹了我國(guó)城鎮(zhèn)基本醫(yī)療保險(xiǎn)制度的發(fā)展歷程，發(fā)展形式，對(duì)完善我國(guó)城鎮(zhèn)基本醫(yī)療保險(xiǎn)制度的必要性展開了充分論述。 第三部分介紹濟(jì)寧市城鎮(zhèn)基本醫(yī)療保險(xiǎn)制度現(xiàn)狀運(yùn)行情況，創(chuàng)新性的做法及在制度運(yùn)行過程中存在的問題。 第四部分就完善濟(jì)寧市城鎮(zhèn)醫(yī)療保險(xiǎn)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(jī)制建設(shè)；健全信息平臺(tái)，提升經(jīng)辦服務(wù)水平；完善監(jiān)管體系，確�；�金安全運(yùn)營(yíng)；完善配套政策，切實(shí)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(xiǎn)制度健康平穩(wěn)運(yùn)行五個(gè)方面闡述。 第五部分為全文的結(jié)束語(yǔ)。
[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(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：F842.684

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