经济与管理
經濟與管理
경제여관리
Economy and Management
2015年
1期
25~30
,共null页
普惠 公平 新农合 城乡二元制度 哈特反比保健定律
普惠 公平 新農閤 城鄉二元製度 哈特反比保健定律
보혜 공평 신농합 성향이원제도 합특반비보건정률
Universal favor Fair New rural cooperative medical insurance system Urban-rural dual systems H.L.A. Hart＇s inverse health care law
“新农合”是中国医疗保障制度的创新与历史性进步，但公平性缺失、效率不高，以及合作性不强等，其主要成因是城乡分设的医保制度安排。建议从整合城乡二元制度入手，实行医保集中、问责制管理；调整与优化卫生资源配置，构建卫生生态财政；开发与基本医保无缝对接与整合的商保产品；倡导适合健康公平需要的协同政策；科学立法，保证一体化制度普惠、公平运行。
“新農閤”是中國醫療保障製度的創新與歷史性進步，但公平性缺失、效率不高，以及閤作性不彊等，其主要成因是城鄉分設的醫保製度安排。建議從整閤城鄉二元製度入手，實行醫保集中、問責製管理；調整與優化衛生資源配置，構建衛生生態財政；開髮與基本醫保無縫對接與整閤的商保產品；倡導適閤健康公平需要的協同政策；科學立法，保證一體化製度普惠、公平運行。
“신농합”시중국의료보장제도적창신여역사성진보，단공평성결실、효솔불고，이급합작성불강등，기주요성인시성향분설적의보제도안배。건의종정합성향이원제도입수，실행의보집중、문책제관리；조정여우화위생자원배치，구건위생생태재정；개발여기본의보무봉대접여정합적상보산품；창도괄합건강공평수요적협동정책；과학입법，보증일체화제도보혜、공평운행。
The new rural cooperative medical insurance system is the innovation of Chinese medical security system and a historical progress, but the lack of fairness, efficiency is not high, and the cooperation is not strong and so on, which the main reason is urban and rural areas＇ respectively setting basic medical insurance institutional arrangement. Starting from integrating the urban-rural dual systems, integrating the urban-rural Medicare multi-split institutions into a continuum, implementing centralism and accountability management; adjusting and optimizing hygiene resources＇ configuration, building hygiene ecological finance; developing commercial insurance products which seamlessly dock and integrate into the unified basic Medicare system; advocating joint efforts of collaborative policies which gear to health and equity needs, and guarantying the unified Medicare system to run universally and fairly through scientific legislation.
