Research On The Personal Burden Level Between Urban And Rural Medical Insurance In Liaoning Province

Our country has been committed to build that universal social medical securitysystem, in the process of ten years of development, has initially established a medicalsecurity system with Chinese characteristics. This system in social insurance of primarymedical treatment as the core, composed of multi-level medical security. By the socialbasic medical insurance for urban residents town worker is basic medical treatmentinsurance and basic medical insurance system for urban residents. Rural residents of thesocial insurance of primary medical treatment guarantee shall be conducted by the newrural cooperative medical insurance system. But in front of the development goals toachieve universal health care, while the policy has been implemented throughout theuniversal coverage, but the level of its implementation is not ideal, between urban andrural areas on the financing level and reimbursement ratio there is a big gap.At present our country has built up the world’s largest health care network, on thebasis of the current state of establishing the idea of "universal coverage", all the residentsof personal medical burden should be consistent, but the unjust distribution of multi tracksystem of medical treatment insurance makes medical resources, due to different medicalinsurance system for urban and rural residents, and there are large difference betweenfinancing level and reimbursement policy, lead to the residents’ personal medicalexpenses burden level there is a big gap.This paper first introduces the related concepts and basic theory. Emphasizes on theneed to use one of the important concepts in the study to define the connotation andextension, as well as the survival fairness and labor justice theory, rawls’s justice theory,public goods theory and related basic theory is discussed. Then this paper expounds thedevelopment of urban and rural medical insurance in liaoning province and the presentsituation of financing and payment system. Summed up the implementation of urban andrural medical insurance system since the funding level changes and adjustment, as wellas the reimbursement ratio of the outpatient and hospitalization. By using two indicatorsanalysis of urban and rural medical insurance personal burden level gap, established themeasure model of medical insurance personal burden level gap, and by means of modelassumptions and a lot of empirical research, analysis of urban and rural medical insurance personal medical expenses burden level of the gap. And respectively analyzesthe personal burden of outpatient medical expenses and hospitalization medical expensesburden level. Given the disparity between urban and rural medical insurance personalburden level due to the analysis of the causes and consequences. First cause from thepersonal burden of medical insurance policy considerations cause and internal cause andexternal cause, followed by analysis of urban and rural medical insurance personalburden gap is too big lead to poverty due to illness, Chinese due to illness, increaseddifference between the urban and rural economic consequences. Finally, based on theintegration of urban and rural planning as a whole and the perspective of "universalcoverage" is proposed to narrow the gap in urban and rural medical insurance personalburden level in liaoning province, the policy Suggestions to promote the social justice.Such as perfecting the medical security level as a whole, increased subsidies to promoteurban and rural medical insurance fair, strengthen fund management improve thepayment mechanism, integrating medical resources to realize equity of health care careerdevelopment.