Analysis Of The Current Situation And Existing Problems Of Basic Medical Security System In China

ObjectiveFrom the institutional change theory, based on China’s basic national conditions, both development and current situation analysis of medical security system from a longitudinal point of view, and from the lateral angle of health insurance systems in several representative comparative study, to be for our health security system reform and development path and explore possible countermeasures. MethodsThrough literature research literature collect relevant data; and then were compared by comparative study. Both longitudinal analyzes, summarizes the development and status of the medical security system; and then through horizontal analysis on China and foreign countries on behalf of the typical health care system compared; summed up China’s medical insurance system problems and recommend changes. Results1. Adoption of the longitudinal analysis, we can see that China’s current basic medical insurance system after the reform is the gradual establishment of the dual system is limited by the structure is divided into two parts urban and rural areas. Whether publicly funded health care or labor reform and opening up the basic medical insurance system reform and opening up, under the historical conditions have made many achievements, but there are some problems.2. Adoption of the 1980-2013 level of medical care and analysis of total health expenditure growth and GDP growth, since the reform and opening up of China found that generalized level medical security although somewhat improved, but still 5.00% prescribed by the international community minimum standards; the growth rate of total health expenditure significantly faster than GDP growth, developments in the health care system does not sync with the socio-economic development.3. Our country comparison with foreign typical health insurance system found that although the country’s economic development level and the medical security system there are certain aspects of the advantages compared to the developing countries, but in developed countries compared to the current level of health care is still very low, financing, reimbursement and regulatory mechanisms are inadequate, medical security system has yet to be further improved. Conclusions1. China has established a basic medical insurance system for urban workers, medical insurance, medical insurance for urban residents and the new rural cooperative medical care to meet the conditions set, to meet the basic health care needs of the masses.2. Our current health care system and health care costs are still growing too fast, uneven distribution of medical resources, the overall level of security is not high, the gap between the treatment groups larger issues such as the need for medical security system further improved.3. The developed countries have formed a system of medical insurance system, which are more comprehensive in terms of coverage, government responsibility, funding sources and payment methods for our country to provide medical insurance system reform and improve the experience can be learn.