乡镇经济
鄉鎮經濟
향진경제
Rural Economy
2008年
1期
123~126
,共null页
新型农村合作医疗 筹资困境 制度性缺陷 制度重构
新型農村閤作醫療 籌資睏境 製度性缺陷 製度重構
신형농촌합작의료 주자곤경 제도성결함 제도중구
the new type cooperative medical schemes （NCMSs） ; fund raising bottleneck; systematic flaws; system reconstruction
新型农村合作医疗筹资瓶颈是制约其发展的关键和核心问题。当前新型农村合作医疗筹资困境的成因主要源于制度设计层面，其制度性缺陷主要表现在制度本身的社会保险性质的弱化；三方筹资主体的筹资责任、筹资标准、筹资比例界定难；基金监督与管理的法律依据缺失等方面。必须对制度进行重构才能实现可持续运转，而不是简单的修修补补。
新型農村閤作醫療籌資瓶頸是製約其髮展的關鍵和覈心問題。噹前新型農村閤作醫療籌資睏境的成因主要源于製度設計層麵，其製度性缺陷主要錶現在製度本身的社會保險性質的弱化；三方籌資主體的籌資責任、籌資標準、籌資比例界定難；基金鑑督與管理的法律依據缺失等方麵。必鬚對製度進行重構纔能實現可持續運轉，而不是簡單的脩脩補補。
신형농촌합작의료주자병경시제약기발전적관건화핵심문제。당전신형농촌합작의료주자곤경적성인주요원우제도설계층면，기제도성결함주요표현재제도본신적사회보험성질적약화；삼방주자주체적주자책임、주자표준、주자비례계정난；기금감독여관리적법률의거결실등방면。필수대제도진행중구재능실현가지속운전，이불시간단적수수보보。
The fund-raising bottleneck of the new-type cooperative medical schemes （NCMSs） in rural China is the key to restrict its development. Currently, the dilemma of fund raising in the NCMSs mainly results in the system design itself. Its system flaws mainly include： the attenuation of social security archery target of the system itself; the difficulty of limiting finance responsibility, finance standard and finance proportion to the main body in tripartite finances; the lack of legal basis in fund surveillance and management and so on. We have to carry on reconstructing the system to make it sustainable development, which is not suitable to patching up simply. Therefore, we should re-limit fund-raising responsibility of the main body in tripartite finances, strengthen its social security essence, and strengthen government finance responsibility, strengthen surveillance and the management. Especially, we must take urgent action to formulate the powerful law to take the strut.
