棗莊市城鄉(xiāng)居民基本醫(yī)療保險運行效果評價研究
發(fā)布時間：2019-01-20 19:02
【摘要】：近年來,國家極其重視整改醫(yī)療保障制度,加大公共投入,加快推進新型農(nóng)村合作醫(yī)療(以下簡稱“新農(nóng)合”)和城鎮(zhèn)居民醫(yī)療保險(以下簡稱“城居保”)的建設(shè),迅速擴大醫(yī)保覆蓋面范圍,緩解城鄉(xiāng)居民就醫(yī)困難,費用高昂的問題。但是城鄉(xiāng)二元結(jié)構(gòu)的存在,致使我國城鄉(xiāng)醫(yī)保制度分立現(xiàn)象日益明顯,從而致使其失衡。伴隨經(jīng)濟社會的不斷發(fā)展,多種醫(yī)療保險并行的制度不能滿足參保人員的需求。因此,黨中央明確提出全面籌劃城鄉(xiāng)社會保障體系建設(shè)。同時,新醫(yī)改方案確立了“覆蓋全民、全民醫(yī)�！钡闹匾繕�(biāo)和任務(wù)。然而,仍有部分專家表示,結(jié)合目前實際國情可知,實現(xiàn)城鄉(xiāng)醫(yī)保一體化是一個長期循序漸進的過程,操之過急反而會適得其反。各地區(qū)在經(jīng)濟狀況、人均收入、就醫(yī)觀念、制度干預(yù)等諸多方面存在的差異導(dǎo)致城鄉(xiāng)居民基本醫(yī)療保險(以下簡稱“城鄉(xiāng)居民醫(yī)�！�)在各地推行的模式、實施方案也不同。因此,至今仍未有一個完整的評價指標(biāo)體系。但是,科學(xué)合理評價棗莊市城鄉(xiāng)居民醫(yī)保的運行狀況,提高運行質(zhì)量,促進該制度健康持續(xù)發(fā)展的前提,必須是構(gòu)建一套關(guān)于該制度運行效果的評價指標(biāo)體系。本篇論文采用理論與實證分析相結(jié)合的方法,第一,簡述了城鄉(xiāng)居民醫(yī)保的相關(guān)概念和理論,分析了棗莊市2010年-2014年新農(nóng)合的基本情況;第二,對棗莊市城鄉(xiāng)居民醫(yī)保的運行現(xiàn)狀進行總體評價。在此基礎(chǔ)上,運用變異系數(shù)法和聚類分析法以及專家咨詢法,設(shè)計出一套城鄉(xiāng)居民醫(yī)保運行效果評價指標(biāo)體系。然后,運用主成分分析法,對棗莊市5區(qū)1市城鄉(xiāng)居民醫(yī)保的運行效果進行綜合評價,根據(jù)2個主成分綜合得分發(fā)現(xiàn),滕州市與市中區(qū)的運行效果較好,滕州市得分最高,市中區(qū)的綜合得分為正值,嶧城區(qū)、山亭區(qū)、臺兒莊區(qū)、薛城區(qū)的綜合得分依次遞減,且均為負(fù)值,綜合得分與運行效果成正比,因此這四個區(qū)的運行效果在全市排名相對落后。最后,根據(jù)評價結(jié)果對進一步完善該制度給出建議。
[Abstract]:In recent years, the state has attached great importance to rectifying and reforming the medical security system, increasing public investment, and speeding up the construction of the new rural cooperative medical care system (hereinafter referred to as "new rural cooperative medical system") and the medical insurance for urban residents (hereinafter referred to as "urban housing insurance"). Rapidly expand the coverage of health insurance, ease the difficulties of urban and rural residents access to health care, expensive problems. However, the existence of urban-rural dual structure makes the phenomenon of urban and rural medical insurance system more and more obvious, which leads to its imbalance. With the development of economy and society, the concurrent medical insurance system can not meet the needs of the insured. Therefore, the Party Central Committee clearly put forward a comprehensive plan for urban and rural social security system construction. At the same time, the new medical reform program has established the important goal and task of "covering the whole people, universal health insurance". However, some experts still say, combined with the actual situation, the realization of urban and rural health care integration is a long-term gradual process, too soon will be counterproductive. The differences in economic status, per capita income, medical concept and system intervention in different regions lead to different modes and implementation schemes of basic medical insurance for urban and rural residents (hereinafter referred to as "medical insurance for urban and rural residents"). So far, there is not a complete evaluation index system. However, a scientific and reasonable evaluation of the operation of urban and rural residents in Zaozhuang City, improving the quality of operation, and promoting the healthy and sustainable development of the system must be a set of evaluation index system about the operating effect of the system. This paper adopts the method of combining theory with empirical analysis. Firstly, it briefly introduces the related concepts and theories of urban and rural residents' medical insurance, and analyzes the basic situation of the new rural cooperation in Zaozhuang City from 2010 to 2014. Second, the operation of urban and rural residents in Zaozhuang City health insurance status of the overall evaluation. On this basis, using variation coefficient method, cluster analysis method and expert consultation method, a set of evaluation index system of urban and rural residents' health insurance operation effect is designed. Then, by using principal component analysis method, the operation effect of medical insurance for urban and rural residents in 5 districts and 1 city of Zaozhuang City is comprehensively evaluated. According to the comprehensive scores of the two principal components, it is found that the operation effect of Tengzhou City and Shizhong District is better, the score of Tengzhou City is the highest. The comprehensive scores of Shizhong District are positive, Yicheng District, Shanting District, Taierzhuang District and Xue Cheng District are decreasing in turn, and all of them are negative. The comprehensive score is in direct proportion to the effect of operation. As a result, the operation of the four districts in the city ranked relatively backward. Finally, according to the evaluation results, some suggestions are given to further improve the system.
【學(xué)位授予單位】：安徽農(nóng)業(yè)大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：F842.684
本文編號：2412309
[Abstract]:In recent years, the state has attached great importance to rectifying and reforming the medical security system, increasing public investment, and speeding up the construction of the new rural cooperative medical care system (hereinafter referred to as "new rural cooperative medical system") and the medical insurance for urban residents (hereinafter referred to as "urban housing insurance"). Rapidly expand the coverage of health insurance, ease the difficulties of urban and rural residents access to health care, expensive problems. However, the existence of urban-rural dual structure makes the phenomenon of urban and rural medical insurance system more and more obvious, which leads to its imbalance. With the development of economy and society, the concurrent medical insurance system can not meet the needs of the insured. Therefore, the Party Central Committee clearly put forward a comprehensive plan for urban and rural social security system construction. At the same time, the new medical reform program has established the important goal and task of "covering the whole people, universal health insurance". However, some experts still say, combined with the actual situation, the realization of urban and rural health care integration is a long-term gradual process, too soon will be counterproductive. The differences in economic status, per capita income, medical concept and system intervention in different regions lead to different modes and implementation schemes of basic medical insurance for urban and rural residents (hereinafter referred to as "medical insurance for urban and rural residents"). So far, there is not a complete evaluation index system. However, a scientific and reasonable evaluation of the operation of urban and rural residents in Zaozhuang City, improving the quality of operation, and promoting the healthy and sustainable development of the system must be a set of evaluation index system about the operating effect of the system. This paper adopts the method of combining theory with empirical analysis. Firstly, it briefly introduces the related concepts and theories of urban and rural residents' medical insurance, and analyzes the basic situation of the new rural cooperation in Zaozhuang City from 2010 to 2014. Second, the operation of urban and rural residents in Zaozhuang City health insurance status of the overall evaluation. On this basis, using variation coefficient method, cluster analysis method and expert consultation method, a set of evaluation index system of urban and rural residents' health insurance operation effect is designed. Then, by using principal component analysis method, the operation effect of medical insurance for urban and rural residents in 5 districts and 1 city of Zaozhuang City is comprehensively evaluated. According to the comprehensive scores of the two principal components, it is found that the operation effect of Tengzhou City and Shizhong District is better, the score of Tengzhou City is the highest. The comprehensive scores of Shizhong District are positive, Yicheng District, Shanting District, Taierzhuang District and Xue Cheng District are decreasing in turn, and all of them are negative. The comprehensive score is in direct proportion to the effect of operation. As a result, the operation of the four districts in the city ranked relatively backward. Finally, according to the evaluation results, some suggestions are given to further improve the system.
【學(xué)位授予單位】：安徽農(nóng)業(yè)大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：F842.684
【參考文獻(xiàn)】
相關(guān)期刊論文 前10條
1 閻惠英;楊俊;;河北省新農(nóng)合與城鎮(zhèn)居民醫(yī)療保險并軌研究[J];勞動保障世界(理論版);2013年05期
2 曹佩琪;谷晨;;我國城鎮(zhèn)居民基本醫(yī)療保險制度存在的問題及對策[J];改革與開放;2012年04期
3 梁鴻;賀小林;;社區(qū)衛(wèi)生服務(wù)收支兩條線改革認(rèn)識誤區(qū)的思考[J];中國衛(wèi)生政策研究;2010年09期
4 何克春;陳斌;蘇明麗;李明;袁紅梅;;論醫(yī)療保險制度對醫(yī)患關(guān)系的影響[J];中國衛(wèi)生經(jīng)濟;2010年04期
5 夏芹;尹愛田;;覆蓋全民的城鄉(xiāng)一體化基本醫(yī)療保險制度探討[J];中國衛(wèi)生政策研究;2010年01期
6 顧海;王江曼;;江蘇省城鎮(zhèn)居民醫(yī)療保險問題及對策[J];中國衛(wèi)生政策研究;2009年05期
7 張優(yōu)智;;基于主成分分析的陜西科技競爭力實證研究[J];大連理工大學(xué)學(xué)報(社會科學(xué)版);2009年01期
8 孫文基;蔣大鳴;;城鎮(zhèn)居民基本醫(yī)療保險制度及其監(jiān)督機制研究[J];審計與經(jīng)濟研究;2008年04期
9 蔡躍進;高亞男;;居民醫(yī)療保險：從試點走向完善[J];中國勞動;2008年07期
10 曹繼安;;城鎮(zhèn)居民基本醫(yī)療保險制度建設(shè)的問題和對策[J];西部財會;2008年05期
相關(guān)重要報紙文章 前2條
1 叢樹海;;加強財政支出管理 大力保障改善民生[N];中國社會科學(xué)報;2012年
2 辜勝阻;楊威;洪群聯(lián);;社會保險立法應(yīng)保持新農(nóng)合制度的穩(wěn)定性[N];法制日報;2009年
相關(guān)碩士學(xué)位論文 前2條
1 毛竹秀;山東省城鄉(xiāng)居民基本醫(yī)療保險制度一體化研究[D];山東農(nóng)業(yè)大學(xué);2015年
2 李錦;城鄉(xiāng)居民醫(yī)療保險制度并軌研究[D];首都經(jīng)濟貿(mào)易大學(xué);2011年
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