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目的:了解北京、上海和深圳三地农民工医疗保险制度的基本情况。方法:查阅三地农民工医疗保险制度的政策法规,从参保对象、保障项目和待遇、筹资机制、缴费安排、关系衔接五个方面进行比较。结果:上海和北京分别在2011年和2012年对农民工的医疗保险制度进行改革,分别由过去的综合保险模式和大病统筹医疗保险模式转变为统账结合保险模式,最终与城镇职工医疗保险并轨,为农民工提供门诊和住院费用的报销。深圳市在2014年起除对参保缴费进行结构性调整外,将农民工纳入地方补充医疗保险,享受地方补充医疗保险待遇。结论:三地农民工医疗保险模式的变革对提高农民工医疗保险待遇起到积极的作用,但还需根据农民工的特点不断完善。
Objectives: To understand the basic situation of migrant workers health insurance system in Beijing, Shanghai and Shenzhen. Methods: Check the policies and regulations of the migrant workers’ medical insurance system in the three places, and compare them with the five aspects of the target of insurance, the protection of the project and the treatment, the financing mechanism, the payment arrangement and the connection of the relations. Results: Shanghai and Beijing reformed the medical insurance system for migrant workers in 2011 and 2012, respectively, from the previous comprehensive medical insurance system and the unified medical insurance system to the unified insurance system, and eventually merged with the urban employee medical insurance system , For migrant workers to provide out-patient and hospital expenses reimbursement. In addition to structural adjustment of insurance premiums in 2014, Shenzhen City will include migrant workers in local supplementary medical insurance and local supplementary medical insurance benefits. Conclusion: The reform of the migrant workers’ medical insurance pattern in three places plays an active role in improving the medical treatment of migrant workers, but it needs to be further perfected according to the characteristics of migrant workers.