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Study On The Control Of Basic Medical Insurance Expenditure

Posted on:2015-09-08Degree:MasterType:Thesis
Country:ChinaCandidate:M H LvFull Text:PDF
GTID:2309330431985878Subject:Social security
Abstract/Summary:PDF Full Text Request
Including China’s basic medical insurance system for urban workers and staffmedical insurance, new rural cooperative medical insurance and medical insurance forurban residents, the coverage of medical insurance for urban workers and the new ruralcooperative medical insurance system more widely, covering the crowd more, whichmainly solves the problem of compensation of medical expenses of basic medicalinsurance field. The basic medical insurance system implementation is the Dawa County,according to the national and Liaoning’s policies and regulations promulgated, the countypopulation of basic coverage of all. With the continuous sound of basic medicalinsurance system, the basic medical insurance fund and stable growth. At present, themain problem Dawa County faces in basic medical insurance is, how to fully meet themedical needs of residents, a reasonable allocation of fund of insurance of primarymedical treatment, avoid excessive consumption phenomenon in the process of medicalconsumption. In recent years, medical expenses have emerged unreasonable growthmomentum, in this case, how to control the medical insurance cost is not reasonablegrowth, to identify which belongs to over consumption, how to control this phenomenon,has important significance.The full text is divided into four chapters:The first chapter, the basic medical insurance for defining the concept, the basicmedical insurance service. Clearly the basic medical insurance cost control content,control of the basic medical insurance expenses unreasonable charges. The paperexpounds basic medical insurance expense principle. And the two related theories.The second chapter, on the status of the Dawa County basic medical insuranceexpense control and analysis of existing problems. Dawa County basic medical insurancecosts in the operation, but there still exists the problem of excessive consumption. In thebasic medical insurance prescription medical behavior, medical service institutionunreasonable caused unreasonable rising costs, the three aspects of the basic medicalinsurance system for the defects in the design and management.The third chapter, is the key part of this article. Firstly, analyses the factors of theinfluence of the Dawa County basic medical insurance medical expense control, including four aspects of urban and rural residents per capita net income, the number ofinsurance, per capita medical consumption. Dawa County basic medical insurance costcontrol the influence factors including the number of doctors, million medical equipment,hospital income. From2003to2013by data, regression analysis was carried out usingthe SPSS16software, the correlation and regression equations between variables.Secondly, in view of the moral hazard in the fundamental health insurance are analyzed.Finally, through the two aspects of demand and supply data, several variables wereselected as representative, the use of SPSS16data analysis software, the multivariatelinear regression analysis, the relationship between different variables and the influenceof excessive medical treatment.The fourth chapter, summarizes the regression equation, the last chapter of basicmedical insurance of demand side and supply side analysis; and put forward suggestionson the basic medical insurance of the insured and medical problems.
Keywords/Search Tags:Basic medical insurance, Expense control, Moral risk
PDF Full Text Request
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