文档介绍：山西财经大学
硕士学位论文
太原市城镇居民医疗保险制度运行分析
姓名:李英丽
申请学位级别:硕士
专业:社会保障
指导教师:赵怡
2010-03-21
摘要
医疗保障是我国社会保障体系的重要组成部分,医疗服务的供给与发展状
况和每一个公民的切身利益息息相关。构建覆盖城乡居民公平享有的社会医疗
保障制度是我国和谐社会建设的本质要求。而这其中,城镇医疗保障制度改革
是困难最大的一项,也是必须突破的,是整个医疗卫生体制改革的重要推动力
量。太原市医疗保险制度改革是从 2001 年正式启动,经过几年的运作,医疗保
险制度实施顺利,各方面工作都取得了良好的成效,城市居民的医疗需求基本
得到了满足和保障,然而制度在运行中也暴露出许多缺陷和不足,说明太原市
目前的医疗保险制度还需要在很多方面加以改善和规范。为深入了解太原市城
镇居民医疗保险制度的运行状况,本文运用医疗保险学及其相关理论,深入剖
析太原市城镇居民医疗保险制度在覆盖面、费用支出和社会满意度等方面的运
行状况,对太原市医疗保险制度进行了综合性分析评价,在总结了自 2001 年实
施医疗保险改革以来,取得的成绩和存在一些问题的基础上,为完善太原市医
疗保险制度提出了本文的建议。
论文全部内容分为四章。引言介绍了本文的研究背景、研究意义、研究方
法;第一章介绍了医疗保险的基本理论以及我国医疗保险制度的发展,由此进
行了建立城镇居民医疗保险的必要性分析并得出了建立原则;第二章是关于太
原市城镇居民医疗保险的制度框架说明,涉及了筹资标准、财政补助、费用支
付、医疗服务管理等方面;第三章从参保覆盖面、就医结算及医保满意度方面
分析了太原市城镇居民医疗保险度的运行情况;第四章在总结前文的基础上,
提出太原市城镇居民医疗保险制度未来发展的相关建议。

【关键词】城镇居民医疗保险制度运行分析
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Abstract
Medical insurance system is a ponent of national social security system. The
supplies and development of medical services is closely related with every society member’s
benefit. Therefore, a fair social medical system covering all city and country residents has e
one of the essential requirements of constructing a harmonious society. On the way to this goal, the
city and country medical insurance system is one of most difficult tasks and also the driving force
for the reform of the whole medical and hygiene system.
The medical insurance system of Taiyuan city was launched in 2001. After years of operation,
it proceeds very well and has obtained a lot of achievements. The basic needs of city and country
residents have also been satisfied and guaranteed. However, this process also exposed a lot of
drawbacks that indicate the current medical insurance system in Taiyuan needs to be further
improved and regulated. In order to have a deep knowledge of the running situation of current
medical insurance system in Taiyuan, this thesis provides an in-depth prehensive analysis
and evaluation of the insurance system’s perfor