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China's Universal Medical Security System

Posted on:2015-09-13Degree:DoctorType:Dissertation
Country:ChinaCandidate:Y J ZhaoFull Text:PDF
GTID:1319330428475147Subject:Social Medicine and Health Management
Abstract/Summary:PDF Full Text Request
Medical security system is the main element of our country's social welfare policy, Safeguarding citizen's health right, ensuring universal access to basic medical demand cannot do without medical insurance system. Before the reform and opening up, Under the planned economic system the medical security view urban residents of the welfare system as the main body, that is the public health medical insurance system and enterprise medical security system, Urban residents enjoy free or low cost medical services.In the rural areas, residents participate in the medical security system only have collective spontaneous organizations, voluntary participation system model as the main characteristics of the system, the system play an very important role in the demand of people's health and people's health level.As China's transition from planned economic system to market economic system, our country has established the system of social medical insurance, Stressing the combination of social pooling and individual account, that is individual, collective and government co payment system, With more and more attention to the medical and health system reform, strengthen the public nature of health care, continue to strengthen the public nature of health care, improve the security level of individual in a certain extent, increase the health and welfare of the members of the society, effectively alleviate the difficult and expensive to see a doctor phenomenon. On the face of it, the development of China's medical security system has made some achievements, but in the real conditions still face many problems and defects. Long term since, medical security system with multiple segmentation system reprsent "fragmentation" phenomenon seriously,which result in single coverage, low-level co-ordination, remote medical treatment and medical insurance relationship transfer continueing to advance smoothly, fairness and efficiency loss, integrity is not formed interaction and development between the urban and rural medical security system understanding,.it contributes to the health lack of equality and fair idea of breeding, and universal access to basic health care goals far, medical security system still needs further improvement.Review of the medical security system reform process, the transformation of China's medical security system can be described as from the traditional security model to the multi-level security function, this stage of the medical security system not only emphasizes the disease treatment and diagnosis, but also to pay attention to prevention, care, rehabilitation and nursing services for the integration of security pattern. With the progress of social economy and medical science and technology, people's health needs is more and more strong. In2009, China formally proposed a universal health insurance system, the development of national health care system has become China's macro planning the construction of public service system and the medical and health system reform. Comprehensively promote the system means that China has a more in-depth understanding of the medical security system reform. However, the road of reform is not smooth, but also many resistance and difficulties is to coordinate the relationship, including the government and the market, city and rural, social policy and economic policy, the state and the individual, health and welfare. Many experts and government officials hold a positive attitude towards this reform, but also some people hold a negative attitude. For many reasons, including the existing level of development of productive forces of our country can fully support and promote the development and progress of the national health insurance system, as well as our country can realize real significance in the long time the goal of universal coverage. The problems about the reform of medical safeguard system is being discussed and studied, which deserves our deep survey and scientific planning. Objectively speaking, the reform of medical security system is necessary. China's medical security system is to adapt to the medical security system paradigm in china. On the one hand, it is closely related to global health development strategy formulation and WHO, on the other hand, it cannot do without the macro decision of the government. This is consistent with the realistic choice for the development of China's national conditions, attaches great importance to the study of the national health insurance system for the social from all walks of life. However, the national health insurance system is a very complex system engineering, especially in the economic and social development of our country is still backward situation, it is not an easy thing.As everyone knows, to establish the medical security system is not only the security of all members of society to participate in the medical security system, and it is more important to the health of the citizens rights as the starting point, to enjoy the health and welfare of the fairness and accessibility for the benchmark and the formation of the system security, protecting the citizens'rights to health and basic medical reflects the commitment of the country to the national medical and health. From the perspective of the right of citizens to health, the establishment and improvement of national medical insurance system is a topic worthy of study. The guarantee degree of health rights affects the degree of realization of the health needs in a certain extent. Based on what to define health right and how to establish standards to define it requires further thinking and discussion, In a certain sense, universal health insurance system is one of the basic forms of protection of citizens' health right. It is a national unified system, which is for the purpose of meeting universal needs to access to basic medical, and for the sake of improving well-being of the whole society, the special group of grant appropriate in financing, the formulation of relevant institutional mechanism to strengthen individual health insurance funds, and making medical services community as the main body in the organization is necessary to provide health prevention, rehabilitation and basic medical services, and give full play to the basic role of society and family, and establish interaction and cooperative relationship between the government, society and the family. There are many disadvantages and defects in our current health care system, for system design and the policy mode is difficult to adapt to the needs of social and economic development. Due to the traditional concept of health has been replaced by the new health concept, and national health care concept for the majority of people are accepted, so the establishment of universal health insurance system is the objective requirement of governing for the people and the ruling party, it puts forward new requirements for a new round of health care reform. The development of the nation's medical security system in our country has certain advantages, therefore, I think, in the current national development level in certain circumstances, based on the current favorable conditions on, we should take the protection of citizens the right to health as a starting point, and give full play to advantages and avoid disadvantages, so as to achieve the system benefits the maximum, to strengthen the integration of urban and rural medical insurance system, improve the pace of national healthcare system target. In the near future, I believe that the space for the development of the nation's medical security system and the development prospects will be more broad and beautiful.
Keywords/Search Tags:citizen health right, universal health insurance system, public healthservice, medical security system reform
PDF Full Text Request
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