On Determine Mechanism Of The Medical Insurance Model To The Medical Insurance Level

The medical insurance has been always an important issue for economic development of China. In China, there are three gaps between people: the gap between the city and the country; the gap between different areas and the gap between different social classes, which determine China cannot establish a sole medical insurance as the other countries and even copy any other country's model. Then, it is necessary to consider the relationship between the medical insurance model and the medical insurance level when we begin to try to build a new medical insurance system and its level in China. Undoubtedly, the level of the whole social insurance system is determined by the country's or the area'economic development, which is the same to the medical insurance. While the problem is that if a country's or an area'economic development is proposed, then what's the relationship between the medical insurance model and the medical insurance level, which is a considerable question. This article aims at further discuss this issue that if the economic development is proposed then the medical insurance model determine the medical insurance level and to supply relative reference for the solving of this problem.There are six chapters in this article.Chapter one is introduction, it gives a draft summary of the whole passage. At the beginning of the chapter one, the article introduces the research background and research significance of this article. At last, the article summarizes the research method and innovation. In this chapter, the article, firstly, points out its background which is the study on the relationship between the medical insurance model and the medical insurance level does not exist while the relationship is very close. Therefore, the article is very important not only theorily but also realistically, which will not only interest more attention from relative scholars, but also help set the medical insurance model and the medical insurance level. Secondly, the article also defines the medical insurance model, the medical insurance level, the medical insurance coverage and at the same time defines the most important definition that what is"On determine mechanism of the medical insurance model to the medical insurance level". At last, the article shows the study thought and methods, especially the theory method——System Theory and Games Theory.In chapter two, the article introduces relative theories of the medical insurance level and the medical insurance level abroad firstly and then introduce relative theories of the medical insurance level and the medical insurance level in our country secondly to make strong theory bases for this article, including classfication and commentary on these theories respectively at last.During introducing the study the Present Condition of Research abroad, the article lists the medical insuranc financing, moral hazard's existing and circumvention. Meanwhile, in China, the article mainly lists four issues on medical insurance, the medical insurance level, the medical insurance capital and moral hazard. At the end, the article briefly introduces theoretical base. In chapter three, the article uses structure function theory to anlysis the determine mechanism between the medical insurance model and the medical insurance level combining with China and other countries'practices to prove the determinal relationship.This article introduces what is structure function theory and how to improve structural. Then the article focus on the US model. According to the anylese, the article peoves uneder the privately-owned medical insurance condition the medical insurance model determines the medical insurance level. At the end, the article covers Chinese medical insurance model from the twon's and country's points respectively.In chapter four, the article uses organization theory to anlysis the the determine mechanism between the medical insurance model and the medical insurance level combining with China and other countries'practices to prove the determinal relationship.This article the meaning of organization theory, classes of organzational structure and organization for construction in the medical insurance. According to anylese the Britain government and the other department's role in the medical insurance, the article proves that the medical insurance model determines the medical insurance level. And the article introduces the Chinese government, enterprise, the hospital and other departments'role in the medical insurance level.In chapter five, the article uses fund operation theory to anlysis the the determine mechanism between the medical insurance model and the medical insurance level combining with China and other countries'practices to prove the determinal relationship. This article brielfly introduces the importance of the medical insurance capital in the 1st segment; in the 2nd segment, the article takes the Singapore as example to prove the determination mechanism and the reference to develop China's medical insurance.In the last chapter, through these analyses, the article points out the weaknesses of China's medical insurance and then put forward the author's advice on how to better the now-running medical insurance system.This segment locates the present condition of Chinese medical insurance and anlyses the causes. It points out the four reasons that government, enterprise and private's burdens, possession of resources are not equal and policy supporting income differential. And on this base, the article points out the policy advice for our country according vurve anlyses, mainly the overall views.