Linyi City, Fair Assessment Of The Health Insurance And Optimize Countermeasures Research

The basic medical insurance system is a social security systems important content, it maintains the social stability safety net, also is the social justice regulator, regarding the promotion economy development, the construction socialism harmonious society has the vital role. The various countries all extremely pays attention to the medical insurance fairness appraisal question, studies the cities staff basic medical insurance fairness to have its urgent practical significance. The national economy fast growth expanded gap between rich and poor between members of different social classes', as well as the personal hygiene investment increase, will be able to cause the hygienic service use not fairness. Economic system and medical insurance system reform although enhanced the efficiency large scale, but the hygienic service use unfair condition had the aggravating tendency, this is the present stage conducts the medical insurance fairness research in our country the objective necessity.The Shandong Province Linyi is one has more than 1000 ten thousand populations, the economy owes the developed revolutionary old liberated area. Studies medical insurance of Linyi, regarding studies the national economy to owe developed local the medical insurance to have the model function. In order to deepen and consummates the Linyi medical insurance system, for develops our country medical insurance enterprise to provide the reference, this article through analyzes the Linyi medical insurance reform thoroughly the movement condition, summarized the result and the existence question which the Linyi medical insurance reform obtains, has carried on the analysis appraisal to the Linyi medical insurance fairness, has introduced the harmonious idea, from constructs harmonious social, attention livelihood of the people angle research medical insurance fairness question, unifies in 17th Conference reports "take to improve the livelihood of the people as the key social construction" the theory policy background, proposed optimizes the Linyi city medical insurance fairness countermeasure suggestion.This article through to the Linyi city medical insurance fairnessappraisal existence problem analysis, draws the following conclusion:(1) medical insurance senate guaranteeing rate still treated furtherenhances, guaranteed the medical insurance to be fair. (2) the medicalinsurance individual account fund collection still existed not fairly;The staff actually finances the burden rate existence not to beunfair; Poor person's health finances the technical progress factor tohave to be higher than the rich person, exists not fairly. (3) thefixed-point hospital, the fixed-point pharmacy and the medicalresources guarantee the staff according to the senate to dispose theexistence not to be unfair. (4) the medical expense individual burdenexistence is unfair. Reason analysis as follows: (1) the medicalinsurance legislation is not perfect. (2) medical insurance coveragenarrow, the community medical service degree of protection islow. (3) the medical service use is imbalanced. (4) the medicalexpense individual burden level treats the adjustment. Based on theabove conclusion, this article proposed from macroscopic and themicroscopic two angles optimizes the Linyi city medical insurancefairness countermeasure suggestion. From the macroscopic angle, theconformity society resources, raises the medical safeguard level. Fromthe microscopic angle, must continue to deepen the medical insurancesystem the reform.