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外来农民工就业集中地区医疗保险模式探讨

发表时间:2010-06-15  浏览量:1639  下载量:539
全部作者: 吴传俭, 丁元林
作者单位: 广东医学院人文与管理学院;广东医学院公共卫生学院
摘 要: 解决好数量庞大的农民工社会医疗保险问题,对我国当前社会医疗保险制度建设具有非常重要的影响。农民工具有明显的区域分布特征,其社会医疗保险应该以就业集中城市为切入点,结合其就业与流动特征,采取适宜的社会医疗保险模式。首先,以储蓄式基金筹集模式来提高其参保率并实现基金安全管理;其次对于改革捆绑过大的综合社会保险模式,采取工伤、生育和医疗3种保险相结合的小综合医疗保险模式,重点解决大病保险,允许储蓄基金异地购买国家基本药品目录内药品;再次,打破地域限制,实行就业地区集中区域内统筹,并在适当条件下实行就业地区与流出地区异地定点医疗。
关 键 词: 卫生经济学;社会保障;农民工;社会医疗保险;储蓄式基金;综合医疗保险
Title: Study on social medical insurance model about migrant worker centralized areas
Author: WU Chuanjian, DING Yuanlin
Organization: Department of Humanities and Management, Guangdong Medical College;Department of Public Health, Guangdong Medical College
Abstract: To solve the society medical insurance problem of large number of migrant workers has the extremely important influence to current society medical insurance system construction of China. The migrant workers have the obvious regional distribution characteristics; their social medical insurance should take important concentration to the centralized cities as the breakthrough points, unifies their employment and migrant characteristics, and adopts the suitable society medical insurance pattern. First, taking deposit type fund collection pattern to enhance the guarantee rate and realize the fund safety control; second, adopting the small synthesis medical insurance pattern which embraces the insurance of injury on job, the birth insurance and the medical insurance, and solving the big sickness insurance with emphasis, to permit purchase on the drugs in the national basic drugs table contents; and finally, breaking the region limit, implementing unified management in the immigrant region, and implementing the immigrant and the emigrant contrary fixed point medical service under the suitable condition.
Key words: health economics; social security; migrant worker; social medical insurance; deposit type fund; comprehensive medical insurance
发表期数: 2010年6月第11期
引用格式: 吴传俭, 丁元林. 外来农民工就业集中地区医疗保险模式探讨[J]. 中国科技论文在线精品论文,2010,3(11):1174-1179.
 
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