Research On Imporing Basic Medical Nsurance System For Urban Esident Of Shanghai

China’s "new healthcare reform plan" proposed to establish the basic medicalinsurance system to cover all members of society within three years. Basic medicalinsurance system for urban residents is one of an important component of the framework ofthe basic medical insurance system in our society. Deepening the reform of basic medicalinsurance system for urban residents and improving the basic medical insurance policyhelp to improve China’s basic medical insurance system efficiency. Shanghai is one of thepilot areas of basic medical insurance system for urban residents in China. TakingShanghai as an example, study the basic medical insurance system for urban residents hasa typical significance.The paper on the following five aspects: Firstly, it analyzed basic concept andproposed the relevant theory the basic medical insurance system for urban residents;Secondly, it analyzed the running status of the Shanghai Urban Resident Basic MedicalInsurance System; Third, through social surveys, there is an empirical on the Shanghaiurban resident basic medical insurance system; Fourth, it analyzed the effect of theoperation of the urban resident basic medical insurance system, reveals the problems of thesystem operation and proposed a target model of Improving the urban resident basicmedical insurance system for urban residents. Finally, it put forward countermeasures andsuggestions to improve the urban resident basic medical insurance system for urbanresidents.The paper used Comparative analysis、Sample surveys、interviews and othermethods of social survey research, use of correlation analysis and regression analysismethod, Based on social equity theory、Public Goods Theory and Institution ChangeTheory, analyzed of the Shanghai urban resident basic medical insurance system. It revealsthe process of system design and operation of institutional arrangements that exist in thelack of fairness、some residents are not enthusiastic about insurance、the contributions are relatively large, residents are still have a relatively heavy medical burden and other issuesand causes of fragmentation that separated from other systems. On this basis, Presentedaccording to different age characteristics of non-employed residents, Established Gradientmode of financing Increase government investment in public finance, to guide residentshave a rational medical treatment, and then achieve the target to improve the basic medicalinsurance for urban residents rate. The paper constructs the Mode of urban resident basicmedical insurance system characterized by gradient mode of financing. It put forwardcorresponding countermeasures and suggestions: First, to increase non-government financepractitioners of urban residents into health insurance; according to the growth in revenueincreased the proportion of financial investment gradually; Second, adjust Funding modelof the residents to inspire young people insured; Third, improve community health services,encourage residents to the nearest medical institutions at the community level treatment,increase the utilization of medical resources, ease the pressure on fund; Fourth, promotingurban and rural areas based on three of the interface between basic medical insurancesystem, institutional arrangements to help coordinate the basic medical insurance systemfor urban residents and the relationship between other systems.