中国基本医疗保险异地转移就医困境与对策研究

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1、江西财经大学硕士学位论文中国基本医疗保险异地转移就医困境与对策研究姓名：胡敏洁申请学位级别：硕士专业：社会保障学导教师：周全林20091201根本上得到解决。国家对这一问题己高度关注，并幵始了深入的研究和探讨。当前，可先通过上述办法缓解参保人员的异地就医难的问题，再分步、分阶段实现“一卡通”全国统筹。关键字：基本医疗保险；异地转移；医保合作机构；医保信息联网Abstract30yearsofreformandopeningup,China'seconomiclevelandthemarkedimprovementinpeople'sproductionandlivi

2、ngconditionshavealsobeenimprovedsignificantly.Staterelatedtobasiccivilrighttolifeofthemedicalinsurancecareermoreandmoreattention,andhavepublishedthebasicmedicalinsuranceforurbanemployees,thenewruralcooperativemedicalinsuranceandbasicmedicalinsuranceforurbanresidents.Healthinsurancecove

3、rageincreasedyearbyyear.Butwiththeenhancedmobilityofpopulation,Off-sitemedicaltreatmentofinsuredpersonsbecomemoreandmore,problemsfacedbyOff-sitemedicaltreatmentarealsobecomingmoreandmoreprominent.CommunistPartyofChina'sFourthPlenarySessionoftheSixthproposedthattoadheretothescientificde

4、velopmentconceptasaguidetobuildasocialistharmonioussociety,andadheretopeople-centered.Therefore,wemustincreasedynamism,createconditions,andsettleoutpeople'simmediateinterestsoftheproblemsrelatedtoOff-sitetransferofmedicalcare.Off-sitetransfermedicalinsuranceformedicaltreatmentreferstot

5、heinsuredduetoOff-sitework,relocation,andtransferformedicaltreatmentorotherfactors.Theinsuredthatoutsidetheco-ordinationneedtoseeadoctoratmedicalagencyorpurchasemedicineoutsidetheregion.Itisacross-seekingbehaviorco-ordinatedistrict.ThemainflowofOff-sitemedicalcareconcentratedinbigcitie

6、sanddevelopedareas.ButChinadoesnothavecomprehensivesocialinsurancelegislation,sothepolicydifferencesresultstoeconomicdifferences,alsoallowsthetransferofinsuredOff-sitemedicalcarefacingmanydifficulties.Itsmainexpressionis:theregionwillbenefitfortheirownnumerouspairsofOff-sitemedicalcare

7、,sosetthethresholdletthepartoftheco-ordinatefundshardtothetransfer;anarrowrangeofmedicalexpensereimbursement;cumbersomeproceduresforreimbursementofmedicalexpenses;Off-sitemedicaltreatmentofpatientsduetothenewlyintroducedsystemofdesignatedmedicalinstitutions,excessiveuseofmedicalresou