In response to the problems existing in my country's medical insurance, the Social Insurance Research Institute of the Ministry of Labor and Social Security launched a questionnaire survey on "Hot and Difficult Issues in Medical Insurance". The survey targets were the persons in charge of medical insurance administration and handling in 30 provinces across the country except Tibet.

In this survey, 60 questionnaires were distributed and 60 valid questionnaires were recovered, with a recovery rate of 100%.

1. Top ten hot and difficult issues in medical insurance 1. Medical security issues for disadvantaged groups in society 6. Difficulties in controlling medical insurance costs 2. Difficulties in enterprise participation 7. Accelerating medical insurance legislation 3. The pressure on medical insurance funds from the increase in the proportion of retirees 8.

Issues on the insurance of flexible employees 4 Issues on the supervision of designated medical institutions and designated pharmacies 9 Issues on the construction of medical insurance computer information systems 5 Issues on heavy individual burdens 10 Issues on formulating scientific and reasonable medical expense settlement methods 1. Highlight scientificity, authority and practicality

, facing the hot spots and difficulties.

This survey was designed and implemented strictly in accordance with sociological research methods. It summarized the most prominent hot and difficult issues in various places and screened out ten hot and difficult issues based on the frequency of selection.

The subjects of this survey are the persons in charge of medical insurance administration and handling in 30 provinces, and their answers add authority to the top ten hot and difficult issues.

Medical insurance reform has been undergoing turmoil for several years and has accumulated rich experience.

The choice of issues by provincial medical insurance directors reveals the focus of the next step in medical insurance reform.

The proposing of the top ten hot and difficult issues in national medical insurance is of great practicality for summarizing historical experience and deepening the reform of medical insurance.

2. Feel the impact of development, face reality sincerely, and call for deepening reform.

The top ten hot and difficult issues reflect the medical security issues involved in China's social and economic development.

The content of the question focuses on improving the construction of the medical insurance system and medical insurance management, and also involves the construction of the medical security system.

The person in charge of medical insurance clearly raised the issue of insurance participation for various groups of people, especially the issue of medical security for vulnerable groups.

The choice of questions reflects that the person in charge of provincial medical insurance has a broad mind and no egotism. The answer to the question is based on the overall situation of gradually improving the medical security system and promoting healthy social and economic development, feeling the fierce impact of social and economic development, and reflecting the reality.

life and grasp social needs.

Equity, efficiency, accessibility, quality and sustainability are the core guiding principles of social security reform.

The identification of the top ten hot and difficult issues provides a basis for improving the security system and determining strategic priorities. The strategy for deepening the reform of medical insurance is about to emerge.

3. The attitude is objective and rational, positive and pragmatic, and based on sustainable development.

The challenges brought by reform are extensive and the impacts of development are diverse.

Vulnerable groups, enterprises in difficulty, and people with flexible employment are social phenomena associated with development and reform, and are impacts and challenges that the whole society must face.

Retirees' pressure on funds, heavy personal burdens and cost control are issues that cannot be avoided in the transformation of the insurance system.

The issues such as accelerating the construction of legislation, information systems and formulating scientific and reasonable fee settlement methods reflect the willingness of the person in charge of medical insurance to realize scientific and modern management in accordance with the law.

Being able to screen out the top ten hot and difficult issues among the complex issues shows that the person in charge of medical insurance can maintain an objective, rational, positive and pragmatic attitude, and has the ability to choose a long-term and sustainable development stance.

2. Judgment of the current status of medical insurance reform In order to understand the current status of medical insurance reform in various places, 11 questions were designed in this questionnaire, of which 2 questions related to system construction, 4 questions related to the effectiveness of medical insurance institution management, and 4 questions

It is a difficult problem in medical reform. One question is about the external environment of medical insurance reform-the reform of the medical and health system.

The answers from the person in charge of medical insurance indicate: 1. Generally agree with the current system.

The level of financing and the proportion of unified accounts and allocations are the core contents of the basic medical insurance system. The evaluation of the core contents reflects the basic attitude of the person in charge of medical insurance about the basic medical insurance system.

In this survey, 63.3% of people believe that the current level of financing is moderate; 83.3% of people believe that the proportion of unified accounts is reasonable.

It shows that the person in charge of medical insurance agrees with the current system model.

2. Highly affirmative of management effectiveness.

The evaluation of management effectiveness reflects the basic attitude of the person in charge of medical insurance towards current management policies and measures.

In this survey, 70% of people believe that the current cost settlement method can meet the basic needs of medical insurance management; 83.3% of people believe that the control method of medical expenses is effective.

The person in charge of medical insurance has a positive evaluation of the effectiveness of medical insurance management.

3. A relatively focused understanding of the difficulties in reform.

The judgment of the difficulties of reform determines the focus of the next step.

In this survey, 66.7% of those who believed that it was difficult for enterprises in difficulty to participate in insurance "existed and were relatively serious", and 23.3% believed that "existed but were not too serious". The total of the two was as high as 90%; retirees believed that

A total of 83.3% of the respondents said that the pressure on medical insurance funds caused by the increase in proportion was "relatively large" or "very large".

The focus of medical insurance leaders on difficult issues reveals the goal of deepening reform.

4. Calling for the reform of the medical and health system has become common sense.