Research On The Reasonable Control Of Basic Medical Insurance Expenses For Urban Workers In Shanghai

Social health insurance is an important part of today's domestic social security system for the masses of basic medical services play an irreplaceable role in safeguarding the completion of a comprehensive well-off society and key basis.Establishing a social medical insurance system for urban workers during the basic medical insurance as an important part of social medical insurance system for workers due to the risk of disease after compensating economic losses to give some financial compensation,but also accounted for the proportion of social health Insurance one of the largest insurance.Shanghai,the implementation of the basic medical insurance for urban workers,since,on the masses "difficult and expensive" problem has achieved remarkable results,but because of Shanghai basic medical insurance system for urban workers,the establishment of late,the system is still imperfect,health insurance costs spending rising nearly 10 years,Shanghai urban basic medical insurance outpatient hospital costs increased by three times,outpatient hospital costs the average annual growth of 13%,exceeding the growth rate of income.Without basic medical insurance for urban workers in Shanghai to strengthen cost control,medical insurance fund income over expenditure would appear the situation,which will affect the use of Shanghai Medical Insurance Fund,the sustainable development of basic medical insurance system for urban workers will be subject to threats.Therefore,to curb the Shanghai urban basic medical insurance costs unreasonable growth imperative,but how effective and rational use of medical resources to better serve the people through well-established system and the policy has already become the current Shanghai Medical Society insurance system reform focus.In this article,the basic medical insurance for urban workers in Shanghai reasonable cost control as the research object,by the process of reading the literature and empirical analysis,follow identify problems,analyze problems,problem-solving research principles.From the actual situation of the basic medical insurance for urban workers in Shanghai,the establishment of the Shanghai urban basic medical insurance expenses Factors Affecting the multiple linear regression model of medical services from both the demand side and the supply side of medical services.According to the establishment and analysis model,combined with foreign typical medical insurance expenses control can draw experience from the medical services demand side(the patient),the supply side of medical services(medical services),health insurance agencies,government based on the Quartet point of view,put forward constructive suggestions for reasonable control of Shanghai urban basic medical insurance costs,thus promoting the smooth operation of the Shanghai sustainable urban basic medical insurance system.