| The medical security system as an important aspect of the national social security system,which it’s not only concern the basic livelihood of the residents,but also maintain social and economic stability and development.Facing the key problem of the current aging population and the growing demand of Chinese residents for disease prevention,treatment and health,the party and the government always attach great importance to the construction and improvement of the medical security system.At present,as the main body of the basic medical insurance for urban residents and the new rural cooperative medical system,China has basically formed the basic medical insurance for urban workers,the basic medical insurance system for urban and rural residents,realized the full coverage of the basic medical insurance system.But with the urbanization of our country of industrialization,marketization,the transformation rate of role and identity between the residents is also accelerating.The core of rural integration system of medical security system in China is that how to construct a set of universal coverage of medical.Guangdong province first to carry out health care reform,has realized the health of urban and rural residents,is steadily towards the "Three Guarantees" of the medical insurance system of urban and rural integration step into history.This paper is based on the development of medical security the system of Guangdong,through the summary of Guangdong medical insurance system construction achievements and improve the analysis,to explore the development of Guangdong medical insurance system problems and the reasons,and finally put forward relevant countermeasures and suggestions of Guangdong Province medical security system integration of urban and rural development.This paper is divided into 5 parts:The first part is the introduction.Including background and significance of this research,the domestic and foreign research present situation and research review,research contents,methods and innovation.We focus on answering why study,how to study,study and study what innovation.The second part is an overview of the development of medical insurance system in Guangdong province.The article from the public medical insurance system for urban workers,medical insurance system reform and the basic medical insurance for urban and rural residents set up three stages to the establishment of medical insurance system in Guangdong Province,the development and perfection of reviewing and combing process.The third part is the summarized of the achievements and experience of medical security system in Guangdong province at present.In terms of performance,this paper summarizes the Guangdong Province health care system has achieved full coverage in the system and the realization of population,medical insurance system for urban workers steadily improving,launched a comprehensive and serious illness insurance remote medical billing breakthrough etc.regarding the introduction of experience,this paper summarizes the construction of Guangdong Province medical insurance system reform step by step,the pilot first health care reform oriented,the integration of urban and rural areas has made significant breakthroughs and the introduction of market mechanism has achieved good results and reference experience.The fourth part is the existing medical insurance system reform in Guangdong province by analyzing the problems and causes of Guangdong province.There are two Medicare health insurance systems independently and in parallel,financing standard and treatment level differences exist in the establishment of medical insurance system operation and risk management,personal account function is weak and the management of the medical insurance fund faces problems.In this article the causes of these problems from the aspects of system design history,the level of regional development level and the health insurance fund management system and function of the correlation analysis.The fifth part puts forward the suggestions to the development of Guangdong Province medical insurance system of urban and rural integration.The feasibility analysis of Guangdong province through the implementation of the integration of urban and rural medical insurance system,from the establishment of a sound put forward relevant countermeasures and suggestions in two aspects of reform of medical insurance and medical insurance co-ordination mechanism,The medical insurance system including the unified model,unified unified financing mechanism of health insurance,basic health care treatment,unified medical insurance fund management,unified management and coordination of health care services and the establishment of medical insurance three linkage integration reform health care coordination mechanism. |