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机构地区:[1]山东大学经济学院 [2]德国慕尼黑工业大学
出 处:《山东大学学报(哲学社会科学版)》2013年第6期71-79,共9页Journal of Shandong University(Philosophy and Social Sciences)
摘 要:市场失灵导致我国农村医疗服务供给既无效率、又不公平,旨在改变农村医疗服务市场供求关系的新型农村合作医疗在运行过程中,由于各政府部门职责不清造成政府失灵,促使农村医疗服务供方垄断地位加强、医疗费用不合理地过快上涨。目前,公私合营模式(PPP)在新农合中的应用意义主要在于,通过设计合理的成本、收益、风险分担机制,在农民、各政府部门、商业保险公司等参与主体间建立长期稳固的合作伙伴关系,降低新农合的筹资、运营成本,吸引私人资本参与农村卫生医疗服务的生产,增强医疗供给领域的竞争性,从而提高新农合的供给效率,提高农村居民的医疗保障。It is market failure that causes inefficiency and inequity in the supply of medical care services in rural China.Moreover,mixtures of different governmental sectors' responsibilities in the New Rural Cooperative Medical System(NRCMS),which aims to change the supply and demand of rural medical care services market,brings about government failure and leads to suppliers' strengthened monopoly power as well as unreasonably high prices of rural medical care services.Presently,the application of Public-Private Partnership(PPP) in NRCMS lies in that;through appropriate system to share costs,benefits and potential risks,rural residents,governmental sectors,commercial insurance companies and other participants are able to establish long-lasting and stable cooperative partnership to reduce fund-collecting and operating costs;private investments can be used for rural medical services production to enhance competitiveness,so as to increase the efficiency of the NRCMS and strengthen the rural medical security.
关 键 词:公私合营模式(PPP) 新农合 政府部门 私人部门 合作
分 类 号:F842.6[经济管理—保险] R197.1[医药卫生—卫生事业管理]
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