Study On The Integration Of Basic Medical Insurance For Urban And Rural Residents In Shan Xi

Formed from the planned economy system at public expense,labor insurance and rural cooperative medical care to the new rural cooperative medical care,urban employee basic medical insurance and basic medical insurance for urban residents,basic medical insurance and social assistance together constitute the "three risks on help" in our country's medical security system.But with the improvement of subjective appeal to people health,the condition of an aging population,aging intensifies,the urban and rural segmentation of medical insurance system is no longer meet the needs of social development,to establish a unified urban and rural medical insurance system is imminent.The reform needs to take a gradual approach,and the integration of basic medical insurance system for urban and rural residents is the first step to establish a unified urban and rural medical insurance system.On November 2,2016,Shanxi Province issued "on the integration of urban and rural residents basic medical insurance system of the implementation opinions"(jin ZhengFa [2016] no.57),throughout the province to system integration.Compared with other provinces in China,the basic medical insurance system for urban and rural residents in Shanxi Province integrates the starting point of the basic medical insurance system,the rapid process of promoting the process,the transfer of institutional integration and the timely transfer of the reimbursement concept.However,the reform cannot be achieved overnight.It is a long-term process.The integration of medical insurance for urban and rural residents in Shanxi Province has been completed for a year and a half,and the policy level has been basically completed.However,it is not fully implemented in various cities,and the integration work is still in progress.At the same time,there are still some problems.This article uses the literature analysis,interview research,the combination of qualitative and quantitative analysis method,combining with the welfare economics,balance urban and rural development and social justice theory,in countries and integration of the basic medical insurance policies for urban and rural residents in Shanxi Province based on the study,based on the integration of the implementation of urban and rural residents in Shanxi Province,this study of urban and rural residents in Shanxi Province health problems.Firstly,this paper introduces the operation of the basic medical insurance for urban and rural residents in Shanxi Province.Second,in Shanxi Province people club in health care and social security hall places such as healthcare center survey to obtain relevant information,from policy,after four Angle,field investigation and results analysis of basic medical insurance of urban and rural residents in Shanxi Province integration process.In affirming the achievements of its at the same time,points out that in the implementation of integration,basic medical insurance of urban and rural residents in Shanxi Province is a lack of specific integration of the detailed rules for the implementation,fund-raising mechanism is not sound,treatment "high" design,to the medical insurance fund pressure,integration of the work has not been involved in urban and rural medical resources allocation and orgnaization of power shortage,restricting the service ability five aspects.Finally,in view of existing problems,and from the integration of formulate specific implementation plan and detailed rules,perfecting the financing policy,enhance the capacity of medical insurance fund management,optimize the urban and rural medical resources rational allocation and improve service efficiency of orgnaization of agency of five aspects Suggestions to perfect the basic medical insurance of urban and rural residents in Shanxi Province.