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我国城镇职工医疗保险制度和医药卫生体制改革正在健康发展,主要体现在参保职工的基本医疗需求得到了保障,新的体制逐步形成;城镇职工基本医疗保险制度实现四个转变:一是保障方式从单位保障向社会保险转变,二是保障范围从国有单位逐步向城镇全体劳动者转变,三是费用负担从单位负担向单位和个人双方负担转变,四是保障责任从无限责任向基本保障转变。向“以比较低廉的费用,提供比较优质的服务,不断满足人民群众基本医疗需求”的改革目标迈进,但医疗保障改革实施过程围绕在医、患、保中间的问题须进一步研究探讨:一、城镇职工基本医疗保险制度中几个待研究问题(1)要突出以预防为主的卫生工作根本方针。按照新的医学模式顺应疾病发生、发展和转归的客观规律,以积极、主动性的措施防病于未然;而不是被动地病后治疗。(2)基本医疗保障指标、个人定额的合理性和科学性,有待于进一步研究。(3)对特殊人群,如有特殊贡献的人才、特殊岗位上的人以及不同待业不同工种的保健问题应区别对待。(4)现行的医疗保险对供
China’s urban workers medical insurance system and health system reform is healthy development, mainly reflected in the basic medical needs of insured workers have been protected, a new system gradually formed; basic medical insurance for urban workers to achieve four changes: First, the protection mode The transition from unit protection to social insurance; the second is the shift of protection from state-owned units to all urban workers step by step; the third is the burden of burden shifting from unit burden to both unit and individual; and the fourth is the shift of guarantee responsibility from unlimited liability to basic guarantee. To the goal of reforming the medical insurance reform at a relatively low cost, providing relatively high quality services and continuously meeting the basic medical needs of the masses, the medical insurance reform and implementation process should be further studied and discussed around the problems of medicine, First, several basic medical insurance for urban workers in the system to be studied (1) to highlight the basic principle of prevention-oriented health work. In accordance with the new medical model of disease occurrence, development and outcome of the objective laws to take proactive and proactive measures to prevent the disease from happening; rather than passively post-illness treatment. (2) The basic medical insurance indicators, the rationality and scientific nature of individual quotas need to be further studied. (3) For special groups of people, special contributions to the special needs of people, as well as different unemployed different types of health care issues should be treated differently. (4) The current medical insurance for the supply