Abstract摘要社会保障是保障人民生活、调节社会分配的一项基本制度,是国民收入再分配调节机制中的主要手段之一。上个世纪50年代,我国开始建立医疗保险体系。其中的农村合作医疗取得了很大成就，我国医疗保险制度随着社会生活和经济的发展已经初步具有雏形。作为社会保障体系的一个重要组成部分,医疗保险在保障人民健康、维护社会稳定等方面起到了巨大的作用。但是不可以否认,随着社会经济的不断发展,尤其现在信息化时代，相比其他医疗保障体系较完善的西方国家，现有的医疗保险制度还需要不断创新与完善,改革后的医疗保险制度将更加适应时代发展。本文共分为三个部分，第一部分主要谈医疗保险的特殊性，第二部分讲现行医疗保险的制度建立、管理运行、资金投入比例，第三部分对公立医院存在的问题进行了初步浅析。摘要：医疗保险制度统筹资金投入公立医院管理AbstractSocialSecurityistoprotectpeople'slivesandregulatesocialdistributionofabasicsystem,incomeredistributionisoneoftheprimarymeansofregulatingmechanism.50soflastcentury,Chinabegantoestablishahealthinsurancesystem.OneoftheruralcooperativeIAbstractmedicalcarehasmadegreatachievementsinChina'smedicalinsurancesystemwiththesociallifeandeconomicdevelopmenthavebeenpreliminaryprototype.Asanimportantpartofthesocialsecuritysystem,medicalinsuranceinprotectingpeople'shealth,maintainingsocialstabilityhasplayedahugerole.Butitcannotdenythatwiththecontinuousdevelopmentofsocialeconomy,especiallynowthattheinformationage,comparedtootherhealthcaresystembetterWesterncountries,theexistinghealthinsurancesystemalsorequiresconstantinnovationandimprovement,healthinsurancereformafterwillbemoreadapttothetimes.Thispaperisdividedintothreeparts,thefirstpartofthetalkaboutthespecialnatureofhealthinsurance,thesecondpartofthetalkaboutthecurrenthealthinsurancesystemwasestablished,managementandoperation,theproportionofcapitalinvestment,andthethirdpartoftheproblemsinpublichospitals,apreliminaryanalysis.Keywords:Medicalinsurance;Co-ordinatesystem;capticalinvestment;mangementofpublichospitalsII目录目录摘要..................................................................................................................................................IAbstract.............................................................................................................................................II一、医疗保险的特殊性....................................................................................................................1二、医疗保险中突出的问题..............................................................................................................1（一）医疗保险制度碎片化.......................................................................................................1（二）医疗资源分配不公...........................................................................................................21.医疗人员设备分配不公...................................................................................................22．医保资金投入比例相差较大..........................................................................................3（三）以药养医.........................................................................................................................4（四）药品多层次渠道商流通..................................................................................................5三、医院治疗中的问题..............................................................................................
