认同尴尬折射制度缺陷——漫谈新型农村合作医疗的制度缺陷及对策  

Thought of system defects from an analysis of recognition dilemma———system defects of the new-type rural Cooperative Medical Service and the countermeasures

作　　者：刘启栋[1] 

机构地区：[1]中国社会科学院研究生院,北京100102

出　　处：《卫生经济研究》2005年第5期3-7,共5页

摘　　要：目前,新型农村合作医疗还难以真正惠及百姓,为数不少的农民仍然在徘徊、观望,新型农村合作医疗为何遭遇认同尴尬?通过调研、分析,发现新型农村合作医疗存在一系列制度缺陷:新型农村合作医疗虽然有“新”的一面,但仍然给人以“修旧如旧”的感觉;完全自愿参与的原则使得“富裕者看不上,贫困者参不起”;新型农村合作医疗还走入了以“低水平”筹资换取“广覆盖”的误区;巨大的管理成本也将是其持续发展的很大威胁。At present,the new-type rural Cooperative Medical Service(CMS)has not covered the mass in rural areas.Quite a lot of farmers still hesitate to participate.Why does the new-type rural CMS fall into recognition dilemma?There are a series of system defects in the new-type rural CMS,which have been found through researches and analysis.Although the new-type rural CMS has some new characteristics,people still have the perception of the new-type rural CMS as modification on the base of the old pattern.Under the principle of total volunteer participation,the rich farmers look down on it,while the poor ones could not afford it.Furthermore,the new-type rural CMS conducted wrongly fund-raising at a low level for the aim of broad coverage.High cost of management hazards the sustainable development of the new-type rural CMS.

关 键 词：新型农村合作医疗 制度缺陷 认同 折射 持续发展 管理成本 贫困者 广覆盖 低水平 

分 类 号：R197.62[医药卫生—卫生事业管理] R197.32[医药卫生—公共卫生与预防医学]