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城镇职工基本医疗保险制度、新型农村合作医疗制度和城镇居民基本医疗保险制度三项制度构成了现阶段我国全民基本医疗保险体系的基本框架。可以预期,随着社会经济发展的城乡一体化将最终整合这种“破碎化”的医疗保障体系。本文以大城市典型样本——北京市的医疗保障制度的发展为研究对象,基于城镇化和人口老龄化的视角,初步探讨了“真正”城乡一体化的医疗保障制度发展现状和演进方向。
The basic medical insurance system for urban workers, the new rural cooperative medical system and the basic medical insurance system for urban residents constitute the basic framework for the universal basic medical insurance system in our country at this stage. It can be expected that with the social and economic development of urban and rural integration will eventually integrate this “fragmented ” medical security system. Based on the development of the medical security system in Beijing, a typical sample of big cities, this paper, based on the perspective of urbanization and population aging, explores the status quo and evolution of the “true” urban and rural integrated medical insurance system .