A Study of the Evaluation of the Medical Insurance System of WeiFang and the Measures of Improvemnt
|School||Ocean University of China|
|Course||Management Science and Engineering|
|Keywords||Weifang City Medical insurance for urban workers System Evaluate|
The reform of the medical insurance system is an important content of China's social security system reform, and its success or failure is directly related to the vital interests of the broad masses of the people and social stability. Weifang City, started since 2001, the urban workers' medical insurance system reform, the basic completion of the system's basic coverage, and constantly improve the institutional system nearly 10 years, the majority of urban workers are covered by medical insurance system, the medical needs of insured workers get effectively protected. However, Weifang City, the medical insurance system during operation also exposed many real and potential problems, led to a series of new social conflicts, Weifang City, the current health insurance system in many ways also need to further improve and specification. In this paper, Medical Insurance, welfare economics, and health economics theory, in-depth analysis of Weifang City, the security level of the medical insurance system, the operation of the Fund, cost control, and social benefits of health. First described the purpose and significance of this study, a summary of the relevant research literature, this framework and research methods. Secondly, the second part of the thesis of Medical Insurance Systems theory was introduced, focusing on the knowledge of medical insurance and medical insurance system for the assessment of the theory involved, and the foreign medical insurance model introduced to enhance the Chinese and foreign medical comparison of the insurance system. The third part of the medical insurance system run evaluation system purpose, principles and evaluation methods and indicators set forth establish evaluation model system, the evaluation of the positive indicators of the health insurance system, reverse indicator, two-way indicators and indicators evaluation system, using the established index system to objectively analyze the operation of the medical insurance system can systematically evaluate the adaptability of the medical insurance system and run effect. The fourth part of the medical insurance index evaluation system based on the priorities of Weifang City's urban workers' medical insurance system of the assessment, from the health of the medical insurance fund, medical insurance expenses, as well as medical insurance runs overall situation of tripartite the face of the whole system of analysis elaborated. Fifth Weifang City urban basic medical insurance system run medical insurance benefits is relatively low, the lack of standard treatment level; medical insurance fund potential risks; inefficient use of the medical insurance fund and the allocation of medical resources not reasonable five issues, and the causes analyzed. Section VI presents the countermeasures and suggestions to improve Weifang City, urban workers' medical insurance system, mainly to expand the coverage of basic medical insurance, to enhance the level of medical insurance; strengthen the government's responsibility; strengthen medical management, reduce spending; carry out medical insurance outpatient service six aspects.