中国合作医疗治理六十年变迁
发布时间：2018-12-11 04:43
【摘要】：合作医疗是中国特色的农民医疗保障制度,作为一项公共事业,其六十年的制度变迁是政府治理变革的反映,而政府治理变革主要体现在不断变化的政府与农民的社会治理关系上。从合作医疗的治理结构、治理机制、治理手段、治理绩效等多维视角审视,合作医疗治理历经五个特色发展阶段:合作化初期的农民医疗互助自治、人民公社时期的农民集体福利治理、改革开放初期政府放任治理与重建政策引导下的多元主体探索治理、城乡二元解冻时期政府主导的新型农村合作医疗的初级社会保险治理、城乡一体化加速推进时期整合城乡医保的过渡型社会保险法治。展望未来,合作医疗善治需要构建政府与农民以及其他社会主体相互协作、良性互动的社会保险治理关系,真正实现合作医疗治理的社会化、法治化。
[Abstract]:Cooperative Medical system (CMS) is a farmer's medical security system with Chinese characteristics. As a public enterprise, the institutional changes of the cooperative medical system over the past 60 years are a reflection of the reform of government governance. The change of government governance is mainly reflected in the changing social governance relationship between government and farmers. From the perspective of governance structure, governance mechanism, governance means and governance performance of cooperative medical system, the governance of cooperative medical care has gone through five characteristic stages of development: the farmers' self-governance of mutual medical aid in the early stage of cooperative medical care, In the period of people's commune, the farmers' collective welfare was governed, the pluralistic subjects under the guidance of the government's laissez-faire governance and reconstruction policy in the early stage of reform and opening up, and the primary social insurance governance of the new rural cooperative medical system led by the government in the period of urban-rural dual thawing Urban-rural integration accelerates the period of integration of urban and rural health insurance transitional social insurance rule of law. Looking forward to the future, the good governance of cooperative medical system needs to construct the social insurance governance relationship between government, farmers and other social subjects, so as to realize the socialization and rule by law of cooperative medical treatment.
【作者单位】： 山西大学政治与公共管理学院;
【基金】：国家社会科学基金重点项目“整合城乡基本医疗保险的法律制度研究”(13AFX027) 山西省高等学校中青年拔尖创新人才项目“衔接多层次医疗保障的法律制度研究”(2014052002)的阶段成果
【分类号】：R197.1
，
本文编号：2371893
[Abstract]:Cooperative Medical system (CMS) is a farmer's medical security system with Chinese characteristics. As a public enterprise, the institutional changes of the cooperative medical system over the past 60 years are a reflection of the reform of government governance. The change of government governance is mainly reflected in the changing social governance relationship between government and farmers. From the perspective of governance structure, governance mechanism, governance means and governance performance of cooperative medical system, the governance of cooperative medical care has gone through five characteristic stages of development: the farmers' self-governance of mutual medical aid in the early stage of cooperative medical care, In the period of people's commune, the farmers' collective welfare was governed, the pluralistic subjects under the guidance of the government's laissez-faire governance and reconstruction policy in the early stage of reform and opening up, and the primary social insurance governance of the new rural cooperative medical system led by the government in the period of urban-rural dual thawing Urban-rural integration accelerates the period of integration of urban and rural health insurance transitional social insurance rule of law. Looking forward to the future, the good governance of cooperative medical system needs to construct the social insurance governance relationship between government, farmers and other social subjects, so as to realize the socialization and rule by law of cooperative medical treatment.
【作者单位】： 山西大学政治与公共管理学院;
【基金】：国家社会科学基金重点项目“整合城乡基本医疗保险的法律制度研究”(13AFX027) 山西省高等学校中青年拔尖创新人才项目“衔接多层次医疗保障的法律制度研究”(2014052002)的阶段成果
【分类号】：R197.1
，
本文编号：2371893
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