文档介绍：山西财经大学
硕士学位论文
山西省统筹城乡居民基本医疗保险制度研究
姓名:岳丽娟
申请学位级别:硕士
专业:社会保障
指导教师:赵俊康
2011-03-10
摘要
医疗保险作为城乡居民生存和发展的基本需求,是城乡统筹发展的重要内
容。近年来,随着山西省城镇居民医疗保险制度的全面实施,全民医疗保险体
系框架初步建立,探讨新型农村合作医疗制度与城镇居民基本医疗保险制度的
统筹问题,已经成为推进和完善医疗保险制度改革和建立城乡一体化的医疗保
险制度的关键。
由于新型农村合作医疗制度和城镇居民基本医疗保险制度无论在筹资比例
还是在补偿效果上都与城镇职工医疗保险制度有着不小的差异,现阶段与城镇
职工医疗保险的统筹存在着较大的困难。因此,统筹城乡基本医疗保险制度,
目前主要是指新型农村合作医疗制度和城镇居民基本医疗保险制度的统筹,以
此来逐渐完善城乡医疗保险制度的统筹发展。本文探讨山西省新型农村合作医
疗制度和城镇居民医疗保险制度的统筹,为逐步推进山西省城乡医疗保险制度
的一体化和城乡社会经济的协调发展提供理论支持。
本文在介绍医疗保险相关理论的基础上,从山西省城乡居民医疗保险制度
的差异及效应分析入手,着重分析了山西省城乡居民医疗保险制度的差异和存
在这些差异的社会经济影响,以及造成这些差异的影响因素。进而分析了试点
城市统筹城乡居民医疗保险制度的状况,总结了经验和教训,在此基础上详细
地阐述了统筹城乡居民基本医疗保险制度的必要性与可行性,最后从法制建设、
制度设计、管理服务和配套改革这四个方面提出了统筹的具体思路与对策。
【关键词】城乡居民医疗保险制度统筹
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Abstract
Medical insurance,as the urban and rural residents’ basic needs for survival and development,
is an important guarantee of "urban and rural development". In recent years, with the full
implementation of medical insurance system of urban residents in Shanxi Province and the initial
establishment of national medical insurance system, the co-ordination problems of new rural
cooperative medical system and basic medical insurance system for urban residents has e a
key issue to advance and improve medical insurance system reform and to establish social medical
system of urban-rural integration.
The new rural cooperative medical system and basic medical insurance system for urban
residents has much difference from the medical insurance system for urban workers in terms of
proportion of funding pensation effect, so at this stage, there are great difficulties in the
co-ordination with medical insurance for urban workers. Therefore, the co-ordination of urban and
rural basic medical insurance system mainly refers to the co-ordination of new rural cooperative
medical system and basic medical insurance system for urban residents, with the intent to improve
the co-ordination and development of urban and rural medical insurance s