推行职工基本医疗保险制度的现实问题、法律对策与思考

The Actual Problems,Legal Measures and Thinking on Implementing the Urban Health Insurance System

从医疗保险的理论入手 ,提出了改革是否成功的三条标准 ,进而推演到我国城镇基本医疗保险制度的成效和优势。又从实践的角度 ,概括地列举了推行职工医疗保险制度改革中 7个方面的现实问题。并着重论述了社会主义市场经济条件下解决上述问题的对策 ,其关键在于立法 ,在于建立健全相应的法律法规体系。从立法的角度阐述了立法规则、立法监督、立法宣传和咨询 ,以及保险管理从业人员的专业化问题。

Starting from the theory of health insurance,three criteria for judging the success of reform have been put forward point out the achievement and advantage of the urban basic health insurance system of our country.Futhermore,from the view of practice,it summed up seven problems in implementing the urban health insurance system.It expounded the counter-measures for solving the problems within the conditions of socialist market economy.The key lies in legislation,establishing corresponding legal system.Legislation principles,legislation supervision,legislation publicity and counseling,and the specialization of administrative staff of health insurance are expounded.It can offer some references for the ongoing health insurance system reform in China.