A Research On Our City Medical Assistance System Analysis And Improvement

Since the reform and opening-up policy, our country has maintained stable and rapid development in economy, therefore, the economic strength keeps growing continuously, and the people’s living standard has been significantly improved. However, during the social transformation, the social problems, such as the unemployment, increased income differential, difficulty and high cost of getting medical care, and poverty-disease circulation, arise with the change of the economic growth mode and the adjustment of the economic structure, industrial structure and employment structure. The polarization between the rich and the poor imposes restrictions on the use of health services by the poor, and has a negative effect on the health of the poor. A social exclusion study lists the health field as one of the social exclusion problems through the analysis of the dimension and measurement of the social exclusion. The medical assistance system, as an important part of the medical security system, reallocates various economic and social resources such as medical resources, social group status and right resources of the social groups to lower the disease risks of the poor groups and reduce their burdens of medical expenses and guarantee the relatively fairness, and has an effect on promoting the social inclusion-this article emphasizes the study on how the urban medical assistance objects of our country obtain the necessary medical resources as real citizens, thereby being integrated into the social medical security system.This study aims at perfecting the assistance system and exerting its inclusion effect to sufficiently reflect the social civil rights for the exclusion factors in the medical assistance system; paying close attention to the human capital investment to the assistance objects (families) and exerting their participation effect to reflect the empowering welfare thought; and creating a harmonious environment and exerting the people’s society’s function to provide social welfare for citizens, and increasing their medical security level in the process of promoting the social inclusion of the assistance objects. The specific study structure of this article is as follows:Chapter I Introduction. First of all, introduces questions and makes concepts and study contents clear; then, makes a specific introduction to the study background of this article; and at last, specifies the significance and thinking of the study based on the study review.Chapter II Systematically proposes the domestic and overseas basic theories of Medical Assistance System Analysis and Improvement, including social civil right theory, social fairness theory, social assistance thoughts of welfare economics. Beveridge Report, social exclusion and social inclusion theory, triple distribution theory, baseline equality theory and the like.This paper is based on our country city medical assistance system analysis.to find its existing exclusion factors and improvement. so this chapter refines the core connotation of social exclusion and social inclusion theory, shows the relationship between the theory. This as the theory basis, to seek improvement of medical assistance measures.Chapter III Reviews the development of the urban medical assistance system of our country and makes comments on its inclusion effect. On the one hand, the development of the urban medical assistance system of our country plays a vital role in guaranteeing the healthy rights and interests of the poor groups and promoting the social harmonious development; on the other hand, the medical assistance system, as the basic part of the medical security system frame and the foundation of the social security net, is insufficient in exerting of guaranteeing and inclusion effects; thus, the system arrangement of the responsiveness is required to be more perfect and the system is required to be innovated.Chapter IV Makes further analysis of the inclusion of the medical assistance based on the welfare triangle frame. For the exclusion factors of the medical assistance in policies, funds, technology, system connection, community assistance and the like, adopts the welfare triangle theoretical analysis method and proposes the medical assistance system concept and target frame as well as the implementation of welfare triangle under the integrated medical assistance through the analysis of countries providing security, markets providing opportunities and citizen society providing unity.Chapter V Utilizes a comparative method, and discusses the general reference factors of the medical assistance system to promote the health security of the recipients through the comparative analysis of different foreign medical security modes in developed and developing countries. Such countries include UK, Germany, France, USA, Japan, Singapore, Korea, India, Thailand, Philippines, Mexico and the like.Chapter VI Utilizes a method combining qualitative analysis and quantitative analysis, performs an empirical study on the supply and demand status of the medical assistance resources in Shunyi District of Beijing through deep interview and questionnaire survey to find out factors of affecting the assistance objects benefitting from the system and give improvement advice for the found supply and demand gap of the system.This article comes to a conclusion for the whole study in the summary part pursuant to the core intension of the social inclusion such as inclusion, participation, realization of civil rights, obtaining of resource opportunities and creation of inclusion environments through the medical assistance inclusion analysis based on the welfare triangle frame in Chapter IV, the medical assistance reference analysis of the developed and developing countries in Chapter V, and the empirical analysis of city medical assistance to carry out taking Shunyi District as example in Chapter VI:Firstly, the medical assistance system concept and target shall comply with certain value and ethics principles. This article considers that the governmental leading responsibilities shall be emphasized for the social exclusion represented by the insufficient medical security of the poor groups from the responsibility subject of the medical assistance in the case where that everyone enjoys the basic medical care and health services is taken as the fundamental start point and foothold. The countries providing the security shall change to active response from passive issuing of remedial policies and ensure the realization of the civil rights through the active system arrangement to achieve the targets of being against the social exclusion and promoting the social inclusion.Secondly, establish the rights of the assistance objects obtaining the medical assistance through legalization. The medical assistance is the important content of the social assistance and is a behavior taking the government as a subject, and the realization of the legalization of the medical assistance is an inherent requirement of this system and is also the guaranty of safeguarding national society assistance rights and defining the medical assistance responsibilities undertaken by the government.Thirdly, provide basic health services for the assistance objects in order to achieve the sharing. To eliminate the exclusion factors in the system is to fully consider how the assistance object to fairly enjoy the opportunities of the medical resources. First of all, the contribution to the increasing of the fund procurement and use in the medical treatment use ratio of the assistance objects is the foundation, and then, the contribution to the realization of the system arrangement that the assistance objects are accessible to the basic medical services is critical.Fourthly, create an inclusion environment for the assistance objects in order to reflect the development of the welfare thought. The social assistance thoughts of the new welfare economics and the developmental social welfare system enjoyed by all proposed by the China Development Research Foundation pay more attention to the improving of the human rights and abilities, which expresses a higher requirement on the medical assistance; therefore, we shall pay more attention to the creation of the healthy inclusion environment for the assistance objects. Enhance the self-protection awareness of the assistance objects through the innovation in the system:combine the medical assistance with the social welfare arrangement, improve the social participation ability of the assistance objects, and exert the social function of the town’s communities to fully safeguard the rights and interests of the assistance object.Fifthly, provide accessible health service supply for the assistance objects. While paying close attention to the public hospitals and developing the community health services, the government shall also promote the development of private hospitals, introduce the private capital to found non-profit medical institutions as designated hospitals, and encourage them to assume certain social responsibilities.The features and innovation of this article are mainly in three aspects: Firstly, new perspectives. It does not simply study the medical assistance system based on the medical assistance system in contents, but based on the "developmental social welfare system enjoyed by all" expands the ideas and discusses how the assistance objects are able to fully obtain the medical resources to be integrated into the inclusion factors of the social medical security system, thereby enriching the study findings in such field.Secondly, new methods. In the former studies, the analysis based on the welfare triangle framework in the social exclusion and social inclusion theory was analysis of the various system arrangement structures of the countries, markets and society macroscopically, while this article includes the medical assistance objects of our country to the welfare triangle framework microscopically and performs deep analysis on their medical security, which is an evolution of the welfare triangle framework analysis.Thirdly, the innovative concepts. The former studies on the social assistance were based on the traditional foreign theories, while this article introduces the foreign social exclusion and social inclusion theory and the domestic baseline equality theory, advocates the inclusion direction, proposes new system concepts and targets, refines the core intension of the social exclusion and social inclusion, supports and promotes the theory development.There’re mainly two limitations in this article:the data collection of the implementation situation of the foreign medical assistance is not sufficient, and the awareness of the countries is imbalanced; if more data are collected, the more comprehensive reference factors may be developed. The quantitative analysis in the empirical study is limited; if more quantitative indexes are supplemented, the conviction of the research findings may be further improved.