Research On Basic Medical Insurance Problems Of Urban And Rural Residents In Gansu Province Of China

The medical security issue is a major livelihood issue related to the1.4 billion people,and it is also a hot issue that has attracted much attention for a long time.With the development of social economy,our country’s medical security system is also constantly improving.In 2016,China began to establish the basic medical insurance for urban and rural residents,and integrated the basic medical insurance for urban residents and the new rural cooperative medical insurance.After the integration,the inconsistency of policies and unbalanced treatment caused by the separation of urban and rural areas in the original medical insurance system have been resolved to a certain extent.The weak mutual aid ability of funds and other issues,but some new problems have also been discovered in the integration process.Gansu Province,as an underdeveloped region in the west,has large regional differences.After the integration,the basic medical insurance for urban and rural residents will also have more problems.This article focuses on the basic medical insurance for urban and rural residents in Gansu Province,which is divided into five parts.The first part mainly introduces the development overview and system background of the basic medical insurance for urban and rural residents in Gansu Province.The second part briefly introduces the related concepts and theoretical basis involved in this article.The third part analyzes the development process before and after the integration of medical insurance for urban and rural residents in Gansu Province,and finds some problems that still exist at this stage,and analyzes the three aspects of system construction,fund management,and medical insurance services,and finds the lack of medical insurance integration.System construction planning,unreasonable amount of funds raised,single payment level,low level of fund co-ordination,fund supervision level and handling management level need to be improved,and regional differences in medical security level.The fourth part selects two areas with earlier development of medical insurance in Tianjin and Ningxia,and compares the development of medical insurance in Gansu Province in terms of overall planning level,payment level,payment standard,subsidy level,reimbursement compensation level,fund balance,medical investment.Through the above analysis,The paper from the three aspects of system construction,fund management,and medical insurance services,corresponding optimization suggestions are put forward for the development of basic medical insurance for urban and rural residents in Gansu Province,hoping to promote the better development of basic medical insurance for urban and rural residents in Gansu Province.