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医疗保险是我国社会保障制度的重要组成部分,它既是维护社会稳定的安全网,又是社会公平的调节器,具有促进经济发展的作用。山西省医疗保险制度是从2000年正式启动,经过十年运作、医疗保险制度实施顺利,各方面都取得了良好的成效、城市居民的医疗需求基本得到满足和保障。但目前,我国医疗保险制度本身存在很多缺陷,如国家和企业负担过重,基金支付压力增大,运作不利等等。而作为并不发达的地区之一,山西省的医疗保险制度又有怎样的情况,经历了怎样的改革发展过程,效果又如何呢?据此,从山西省近十年来医疗保险制度的改革发展历程、制度存在的资源条件及运行情况分析和制度评价等几个方面入手阐述。
Medical insurance is an important part of China’s social security system. It is not only a safety net for maintaining social stability but also a regulator of social equity. It plays a role in promoting economic development. The medical insurance system in Shanxi Province was officially launched in 2000. After 10 years of operation, the medical insurance system has been implemented smoothly and has achieved good results in all aspects. The medical needs of urban residents have basically been met and guaranteed. However, at present, China’s medical insurance system itself has many shortcomings, such as overburdened countries and enterprises, increased pressure on fund payment, unfavorable operation and so on. As one of the undeveloped areas, what is the situation of the medical insurance system in Shanxi Province and what kind of reform and development have we gone through? What is the effect? In view of this, from the reform and development of the medical insurance system in Shanxi Province in recent ten years History, the existence of the system of resource conditions and operational analysis and system evaluation, and several other aspects elaborated.