| 1. | Firstly , reviews and analyses the evolution and present situation of the medical care insurance of cities and towns workers ; secondly , analyses the objectivity which restricts the medical care insurance reform , and then finds a solution to breakthrough the bottleneck of social medical care insurance reform ; thirdly , analyses the evolution of medical care insurance reform of western countries objectively , so that we can make a strong argumentation why we should learn their successful experience to perfect our medical care insurance ; last , makes a serious investigation towards some major problems which needs to be solved during our present medical care insurance reform , such as perfect the system , enlarge the coverage of insurance in a high speed , promotes the medical and medicine administration system at the same time sets up a human ? oriented concept called “ equality priority and efficiency ” the thesis sticks to the basic principle of dialectical and historical materialism in investigation method , tries to adopt a series of methods , includes the followings : scientific abstraction , statistics , the combination of international comparison and internal analysis , etc . the thesis has already made some achievements after making a thorough study about the obstacle and policy of our national medical care insurance reform 第三部分内容,客观分析了西方国家医疗保险改革的路径,并就我国城镇职工医疗保险所应借鉴的有益经验进行了论证。第四部分内容,对我国现阶段城镇职工医疗保险改革实践中需要解决的几个主要问题,比如完善制度设计、快速推进保险的覆盖面、切实推行医疗医药管理体制的同步改革、树立“公平优先兼顾效率”的人本理念等问题,进行了认真的研究,提出了解决这些问题的途径。本论文在研究方法上,坚持了辨证唯物论和历史唯物论相结合的基本原则,采用了科学抽象法、统计法、国际比较与国情分析相结合等诸多的方法。 |