农村居民大病保险经济补偿能力及效果
发布时间:2018-05-13 17:22
本文选题:农村居民 + 大病保险 ; 参考:《西北农林科技大学学报(社会科学版)》2016年05期
【摘要】:经济补偿是农村居民大病保险的基本职责,经济补偿能力是履行该职责的前提和基础,经济补偿效果是履行该职责的具体体现。利用江苏省5个样本地区的实地调研数据,从横向和纵向两个维度评估了各地大病保险的经济补偿能力,从大病保险的受益面、患者个人自付比例、大病保险基金使用率等指标综合衡量各地大病保险的经济补偿效果。研究发现,医疗费用、筹资机制、政策设计等多种主客观因素共同约束着大病保险经济补偿能力和补偿效果的发挥,亟需从补偿主体的衔接、大病费用的控制、筹资机制的建设、大病保险的服务等方面进行改进。
[Abstract]:Economic compensation is the basic duty of rural residents' serious illness insurance, the ability of economic compensation is the premise and foundation of performing this duty, and the effect of economic compensation is the concrete embodiment of fulfilling this duty. Based on the field investigation data of five sample regions in Jiangsu Province, the paper evaluates the economic compensation ability of the major illness insurance in different places from the horizontal and vertical dimensions, and from the benefit area of the serious illness insurance, the proportion of the patients' individual payout. The utilization rate of serious illness insurance fund is a comprehensive measure of the economic compensation effect of serious illness insurance. The study found that many subjective and objective factors, such as medical expenses, financing mechanism, policy design and so on, constrain the exertion of the economic compensation ability and the compensation effect of the serious illness insurance together, and urgently need to link up with the main body of compensation and control the cost of the serious illness. The construction of financing mechanism, serious illness insurance service and so on carries on the improvement.
【作者单位】: 江苏大学管理学院;
【基金】:国家社会科学基金项目(13BGL139) 教育部人文社会科学研究青年基金项目(12YJC630280)
【分类号】:F323.89;F842.684
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本文编号:1884106
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