关于我国城乡居民大病医疗保险制度的研究（论文）.docVIP

摘 要 一个国家的医疗保障体系是否健全是衡量一个国家综合国力的重要标准，在改革开放至今的三十余年中，我国的医疗从城镇到乡村，从保基本到注重大病，从试点到全方位覆盖，一步步发展。本文就去年八月颁布的大病保险新政为基础，窥探大病保险的冰山一角，对我国现行的大病保险进行初步了解，找出其中的缺点，从自己的视角提出一些建议，明确大病保险的发展方向。 关键词：大病医疗保险；问题；展望 ABSTRACT A countrys health care system soundness is an important criterion for measuring a countrys comprehensive national strength, more than thirty years since reform and opening up, Chinas medical from urban to rural, from basic security to pay attention to a serious illness, from pilot to full coverage, a step-by-step development. Promulgated in August last year, serious illness insurance Deal spy on the tip of the iceberg of serious illness insurance, a preliminary understanding of the current serious illness insurance, find out the shortcomings and put forward some suggestions from their own perspective, a clear direction of development of serious illness insurance . Keywords: catastrophic health care insurance;Problem;Outlook 目 录 TOC \o 1-3 \h \u HYPERLINK \l _Toc31542 1城乡居民大病医疗保险的相关概念及必要性分析 PAGEREF _Toc31542 1 HYPERLINK \l _Toc181 1.1城乡居民大病医疗保险的概念及主要内容 PAGEREF _Toc181 1 HYPERLINK \l _Toc4227 1.2城乡居民大病医疗保险的必要性分析 PAGEREF _Toc4227 1 HYPERLINK \l _Toc16357 2 城乡居民大病医疗保险的政策背景及执行情况 PAGEREF _Toc16357 2 HYPERLINK \l _Toc5709 2.1城乡居民大病医疗保险的政策背景 PAGEREF _Toc5709 2 HYPERLINK \l _Toc8860 2.2城乡居民大病医疗保险的实施概况 PAGEREF _Toc8860 3 HYPERLINK \l _Toc22409 3 城乡居民大病医疗保险实际操作中存在的问题 PAGEREF _Toc22409 3 HYPERLINK \l _Toc20964 3.1资金来源可持续性差 PAGEREF _Toc20964 4 HYPERLINK \l _Toc25436 3.2管理碎片化 PAGEREF _Toc25436 4 HYPERLINK \l _Toc2440 3.3保险公司动力不足，赔付质量可能降低 PAGEREF _Toc2440 5 HYPERLINK \l _Toc12984 3.4医疗费用不好控制 PAGEREF _Toc12984 5 HYPERLINK \l _Toc8639 3.5统筹层次低，异地就医困难 PAGEREF _Toc8639 6 HYPERLINK \l _Toc7130 4城乡居民大病保险的经验借鉴 PAGEREF _Toc7130 6 HYPERLINK \l _Toc804 4.1太仓模式的探索与实践 PAGEREF _Toc804 6 HYPERLINK \l _Toc2784 4.2湛江模式的探索与实践 PAGEREF _Toc2784 7 HYPERLINK \l _Toc16272 5城乡居民大病医疗保险制度的展望 PAGEREF _Toc16272 7 HYPERLINK \l _Toc28612 5.1城乡统筹发展，统筹层次提高 PAGEREF _Toc28612 7