能力建设视域中农村医疗费用控制转向研究

发布时间：2018-10-26 06:40

【摘要】：农民、政府和医疗机构三者之间存在地位差等,信息差异是参保人、政府和医疗机构间的差等地位的初始原因。地位上的差等与能力上的差异二者之间密切相关。参保人即农民、政府和医疗机构地位上的差等可以表现出不同的利己能力,参保人、政府和医疗机构能力上的提升能够削弱三者之间的地位差异;参保人、政府和医疗机构能力上的不足,则抑制了其在医疗费用控制上的作用发挥。文章从能力建设切入,提出加强农村政府基本公共服务能力、基层医疗机构吸引能力和农民自主性选择能力建设,在新农合系统中形成"农民——政府——医疗机构"三方能力建设联动,不停留在控制农村医疗费用层面,而是转向农民疾病预防和身体保健,真正实现新型农村合作医疗回归社会公益性的初衷。
[Abstract]:The difference of information is the initial reason of the difference between the insured, the government and the medical institution. The difference in status is closely related to the difference in ability. The difference in the status of the government and the medical institution can show different self-interest ability, and the improvement of the insured, the government and the medical institution can weaken the status difference among them. The incompetence of the insured, government and medical institutions inhibits their role in controlling medical expenses. From the point of view of capacity building, this paper proposes to strengthen the basic public service capacity of rural government, the ability of attracting primary medical institutions and the ability of farmers to choose independently. In the New Rural Cooperation system (NCMS), a tripartite capacity-building linkage between "Farmers, Government and Medical institutions" was formed, which did not stop at the level of controlling rural medical costs, but shifted to farmers' disease prevention and health care. The real realization of the new rural cooperative medical system return to the public welfare of the original intention.
【作者单位】：常州大学史良法学院;中国人民大学公共管理学院;
【基金】：复旦大学985工程三期“我国城市化中后期发展重大问题研究”(2011SHKXZD010)
【分类号】：R197.1;F323.89

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