CAJ | 학술논문

我国医疗保障制度中较多强调的是政府及医保经办机构的权利和义务，但在从社会管理到社会治理转变的大背景下，从正义权义结构的角度来看，完善公众参与医疗保障的制度十分必要。文章先后对公众参与医疗保障的制度构建原因、架构、支撑等方面进行了阐述，通过对权义结构的分析和逻辑结构的设计，认为公众应当实质性地参与到医疗保障中，提出从参与权到参加权、从表达权到表决权、从监督权到监管权的理念转变，以期更好地保护公民健康权。
아국의료보장제도중교다강조적시정부급의보경판궤구적권리화의무，단재종사회관리도사회치리전변적대배경하，종정의권의결구적각도래간，완선공음삼여의료보장적제도십분필요。문장선후대공음삼여의료보장적제도구건원인、가구、지탱등방면진행료천술，통과대권의결구적분석화라집결구적설계，인위공음응당실질성지삼여도의료보장중，제출종삼여권도삼가권、종표체권도표결권、종감독권도감관권적이념전변，이기경호지보호공민건강권。
The medical security system in China is more emphasis on the rights and obligations of the government and medical insurance agencies. However, from the background of the social management to the social governance and the perspective of the right structure of justice, improvement of the public participation in medical security system is necessary. We elaborate the construction reason, framework, support and other aspects of public participation in medical security system. By analyzing right-obligation structure and the design of logical structure, the public should be substantially involved in the medical security. We propose views of idea transfer from the right of participation to the right to participate, from the right of expression to the right to vote, and from the right of supervision to the right of supervision and administration, in order to better protect the health of citizens.