CAJ | 학술논문

行动与结构的关系是社会学的基本问题之一。它是一种理论上的困境，但被应用到农民工医疗保险问题上时也成了一种现实的困境。在医疗保险模式选择上，农民工在无制度约束的理想状态和有制度约束的现实状况中表现出了完全不同的行动逻辑。在现有制度的约束下，户籍、企业和医疗保险三个制度的缺失严重地束缚了农民工参加与选择医疗保险的行动，使其行动逻辑发生了冲突和混乱，导致了农民工作出不参加或者选择退保的行为，从而面临着更多的风险。所以，要使农民工积极参加医疗保险，必须要建立一套灵活和系统的医疗保险制度，来满足农民工的不同需求，而这需要政府、企业等各方面的共同努力和合作。
행동여결구적관계시사회학적기본문제지일。타시일충이론상적곤경，단피응용도농민공의료보험문제상시야성료일충현실적곤경。재의료보험모식선택상，농민공재무제도약속적이상상태화유제도약속적현실상황중표현출료완전불동적행동라집。재현유제도적약속하，호적、기업화의료보험삼개제도적결실엄중지속박료농민공삼가여선택의료보험적행동，사기행동라집발생료충돌화혼란，도치료농민공작출불삼가혹자선택퇴보적행위，종이면림착경다적풍험。소이，요사농민공적겁삼가의료보험，필수요건립일투령활화계통적의료보험제도，래만족농민공적불동수구，이저수요정부、기업등각방면적공동노력화합작。
The relationship between action and structure is one of the basic sociological problems .It is not only a theoretical di-lemma, but also a practical one when it is applied on the medical insurance of migrant workers .Migrant workers have completely different action logic when they select medical insurance modes respectively in the ideal state without any institutional constraint and in the practical situation with institutional constraints .Under the constraints of the existing system , migrant workers are restricted in the selection of medical insurance by the imperfection of household registration system , enterprise institution and the medical insur-ance system, which causes conflicts and chaos in their action logic .This may lead migrant works choose not to participate in or can-cellmedical insurance .Therefore, it is necessary to construct a flexible and systematic medical insurance system to meet migrant workers’ different needs, which calls for joint efforts and cooperation of governments , enterprises and other organizations .