Research On The Construction Of Basic Medical Insurance Service System In China From The Perspective Of Urban-Rural Integration

Since 1998,China has established three basic medical insurance systems for urban and rural areas that are suitable for the market economy system,and has generally achieved the goal of "low level and wide coverage" of medical insurance system.However,the construction of the medical insurance system has led to the vertical and horizontal division of the three medical insurance service systems in urban and rural areas.Local governments have taken various measures to integrate the service system in urban and rural areas and improve the efficiency of the public service of basic medical insurance.The Outline of the 13 th Five-Year Plan attaches great importance to the integration of medical insurance management management and put it in an important position in government administration at all levels.There is no doubt that in order to achieve the integration of the basic medical insurance system in China,the urban and rural unity of the basic medical insurance service system is a top priority.At present,the integration of the basic medical insurance system in urban and rural areas is going on in full swing.However,due to the division of administrative management system and other reasons,the division of management service system is prominent,making the integration of the system slightly slow.From the perspective of economic and social integration between urban and rural areas,the biggest problem in the service system of basic medical insurance in China is the division of urban and rural areas.The administrative management system is divided,and the efficiency of administrative services is reduced;The agency set up complex,management service capacity shrink.The reason why China's basic medical insurance service system is divided between urban and rural areas lies in the absence of a central top-level design.Based on its own interests and its own advantages,the department competes for the management rights of medical insurance and the management rights,and the agency's own positioning is unclear.The establishment of basic medical insurance in China started late,and the construction of the advanced typical medical insurance service system in various countries and regions has many places that we can learn from.According to the actual situation of our country,this paper puts forward the countermeasures of building a unified basic medical insurance service system in China: accelerating the unification of the basic medical insurance system and gradually raising the overall level;Unify the basic medical insurance agencies and improve their administrative capacity;Integration of operating services resources;Integration of management information systems.In addition,it is necessary to improve the medical insurance legislation,integrate the administrative management system,and strengthen the supervision of medical insurance to ensure the construction of a unified service system for urban and rural areas.