我国经济社会加速转型,工业化、城镇化发展迅速,人口流动更加自由,就业方式进一步趋于多元化,城乡界限、城乡居民身份界限日益模糊,目前基于城乡差异现实建立起来的城乡二元结构的医疗保障制度体系与经济社会发展要求不相适应,弊端日益显现。统筹城乡经济社会发展,实现由城乡二元经济社会结构向现代经济社会结构转型,是目前中国经济社会发展的基本走向。统筹 China’s economy and society have accelerated their transformation. Industrialization and urbanization have developed rapidly. Population mobility has become more liberal. Employment patterns have further diversified. The boundaries between urban and rural areas and urban and rural residents have become increasingly blurred. At present, the urban-rural dualistic medical system has been established based on the reality of urban-rural differences The system of guarantee system is incompatible with the requirements of economic and social development, and its drawbacks have become increasingly apparent. It is the basic trend of China’s economic and social development to make overall plans for the economic and social development in urban and rural areas and realize the transition from the dual economic and social structure in urban and rural areas to the modern economic and social structure. Co-ordination