Research On The Balance In Basic Medical Security System Of Urban And Rural Areas

At present, we have gradually established four medical security system in china. They are basic medical insurance system for urban employees, urban resident basic medical insurance system, the new rural coorperative medical care system and urban and rural medical assistance system. Because of various reasons, there is a "rural-urban gap "problem in urban and rural medical insurance are getting more and more serious. Such "rural-urban gap", the dual medical insurance system is not conducive to the health of all people, but also a breach of the social health insurance as a guarantee of our basic principle of fairness. So to break urban-rural binary medical security system, eliminate unfair phenomenon enjoyment in medical security system between the city and countryside, establish medical security system which coordinated development of urban and rural areas is very imminent. Through the coordination of urban and rural medical insurance to break of urban-rural binary one, realize fair access to care between city and countryside, make urban and rural residents can enjoy equal rights and interests protection, protect and improve all the people’s health, and further promote the comprehensive and sustainable development of the economic society.This paper introduced the background and significance of study in the coordination of urban and rural medical security system at first, researched in the relevant basic theory about coordination of urban and rural medical security system with theoreitical analysis methods, and then deeply probed into the formation, present situation and the challenges of the binary medical security system of urban and rural areas in china with methods of history and contrast analysis. It pointed out that it existed obvious binary differences between urban and rural areas in china, as a result of the present stage of urban and rural whole dual structure and other factors. Together with the two big cohesive mechanism between urban and rural areas are blocked, this has severely affected the economic and social sustainable development and social justice of urban and rural areas. In order to make fit for and promote economic and social development, it must make a reform of coordination development of the urban and rural areas. Once again through investigation visit to the Wu he county on the basic medical security system, we understand the present situation and differences and summarize the problems of the system. To solve these problems, Wu He county has drawn up on the Urban and Rural Basic Medical Insurance of Integrated Management of the Notice. The notice also made clear the urban and rural areas of insurance of primary medical treatment of the integrated management of "four balances". Finally, with the methods of case analysis to the research in coordination of urban and rural medical security system models and the practical exploration at home and abroad, summing up the experience for reference which is beneficial to the reform of coordination urban and rural medical insurance system in china, and then summarizes the goals and main contents of coordination of urban and rural basic medical security.