本文对天津市基本医疗保险意外伤害附加保险制度从2008年到2013年的建立发展历程进行回顾，列举了相关业务数据和发展成就，总结出意外险制度建设始终把握的四项基本原则，以及有利于医疗保险工作发展的五个方面。通过天津意外险制度实例，深入探讨政府购买服务和改善公共服务方式等新公共管理思潮在社会保险领域的应用的可行性和必要性，着重分析社会保险领域改善公共服务提供方式，实施管办分离的难点和重点。在此基础上，提出了由政府公共部门制定公共服务标准，根据群众需求和效率需要，选择不同主体实施社会保险经办服务的改革模式建议。%Based on the data and the achievment that have been made through basic medical insurance with additional insurance for accident which were established and implemented in Tianjian during the year of 2008 to 2013, four basic principles and ifve aspects which will help the development of medical service were obtained. Based on the experience in Tianjin, the feasibility and necessity of applying new public administration theory into social insurance system were studied. The importance and dififculty of how to improve the public service by social insurance, and how to separate the management and excecutement were analyzed intensively. Consequntly, we suggest that standors for public service public sector should be estabolished by the goverment, and social insurance service should be provided by different interest groups according to the demands of public and its efifciency.
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