城乡居民医疗保险有统筹账户吗
摘要。现行的城乡居民医疗保险制度建设虽取得了明显成就,但在医疗保险城乡分治的过程中也存在一些问题,如政府责任缺失、资源浪费严重、制度衔接困难、统筹层次低等,人为地造成医疗保险制度的城乡二元格局,违背了城乡统筹发展的基本要求。因此,建议通过加强政府责任、统一管理机构、实现城乡衔接与多层次医疗保险制度、提高统筹层次、完善医疗救助制度等方式,进行城乡居民医疗保险的统筹,逐步实现建立城乡一体化的全民覆盖医疗保险制度的目标。
关键词:统筹;城乡居民;医疗保险制度;对策
中图分类号:F840.684文献标识码:C文章编号:0439-8114(2011)12-2589-04
strategiesforsuggestionsonoverallplanningofruralandurbanmedicalinsuranceinchina
SHIHong-wei,SHENSi-si
(BusinessSchoolofJiangsuUniversity,Zhenjiang212013,Jiangsu,China)
Abstract:Thecurrentimplementationofruralandurbanbasicmedicalinsurancesystemhadgotobviouslyachievement,butthesegmentationofruralandurbanmedicalinsurancehadanegativeimpactontheprocessofbalancingruralandurbanareas,forinstance,lackofgovernmentalresponsibility,seriouswasteofresources,difficultconvergenceofsystems,andlow-levelcoordinationetcetera.Itwasartificiallycausedbythemedicalinsurancesystemforruralandurbandualstructure,whichwascontrarytothebasicrequirementofoverallplanningofurbanandrural.Thus,thereweresomesuggestions,forinstance,strengtheninggovernmentduties,integratingofadministrativeorganization,achievingruralandurbancohesionandmulti-levelmedicalinsurancesystemimplementation,improvingtheoverallplanninglevel,enhancingthemedicalaidsystemandsoon,tobalancetheurbanandruralresidentsinmedicalinsurancecoordination,thengraduallyimplementingthetargetofurban-ruralintegrationanduniversalcoverageofmedicalinsurancesystem.
Keywords:overallplanning;ruralandurbanresidents;medicalinsurance;suggestions
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