论文部分内容阅读
目前,医疗保险制度改革正在推开。搞好医疗保险制度改革,不仅需要一个好的方案、一个合理的运行机制,更需要全体参保人员树立正确的就医意识,需要参保人员的积极配合。参保人员的就医意识,包括参保人员的道德意识以及对医保政策的认识水平等多个方面。树立参保人员正确的就医意识是医疗保险制度健康、持续发展的重要保证。以荣成市为例,该市从1997年4月开始实行医疗制度改革至今,对实施办法已进行了两次大的改革。该市最初的医保制度是借鉴“两江”模式建立起来的,从理论上讲办法是合理可行的,但是由于部分参保人员没有正确的就医意识,往往为私利而出现违反医保政策的现象,以致严重影响了医疗保险的正常运转,例如一些参保人员为尽快由社会统筹基金支付医疗费用而突击使用个人账
At present, the medical insurance system reform is being carried out. To do a good job in the reform of the medical insurance system, we not only need a good plan and a reasonable operation mechanism, but also need all the insured persons to establish a correct sense of medical treatment and require the active cooperation of insured persons. The insured person’s medical awareness, including the moral awareness of insured persons as well as the level of awareness of health insurance policies and other aspects. Establishing the correct sense of medical treatment for insured persons is an important guarantee for the healthy and sustainable development of the medical insurance system. Taking Rongcheng for example, the city has implemented two major reforms to its implementation since the implementation of the medical system reform in April 1997. The city’s initial medical insurance system was built on the model of “two rivers”. In theory, the approach is reasonable and feasible. However, some of the insured persons often fail to follow the policy of health insurance due to their lack of proper medical treatment So as to seriously affect the normal operation of medical insurance. For example, some insured persons assaulted individuals using personal social funds as soon as possible to pay medical expenses