新型农村合作医疗制度的利益均衡分析  

Analysis about the Interest Equilibrium of the New Rural Cooperative Medical Scheme

作　　者：苏建军[1] 吕凡 刘卉卉 

机构地区：[1]深圳市福田区慢性病防治院,深圳518048 [2]深圳市福田区卫生局,深圳518048

出　　处：《医学与社会》2010年第3期4-6,共3页Medicine and Society

摘　　要：基于经济学、制度经济学和公共政策学理论中利益均衡概念的一般特征,新型农村合作医疗实现制度均衡的关键是以经办机构的利益最大化为价值观和行动准则,平衡供需双方的利益诉求,促使新农合基金使用上的安全性和有效性,保障参合农民病有所医,保障医疗机构权益,对农村医疗机构进行有效补偿,实现新农合制度的可持续发展。在目前国情下,新农合制度达到理想的利益均衡状态,存在3方面的障碍:经办机构与医疗机构之间的委托-代理问题;医疗机构补偿机制不健全;农村医疗机构和新农合经办机构的信息系统尚不完善。为排除上述障碍,提出相应的3个政策建议:进行混合支付方式改革;逐步推进医疗服务提供方的体制机制改革;完善农村医疗机构和经办机构信息系统建设。The institutional equilibrium of New Rural Cooperative Medical Scheme is to balance the benefits of the deliveries and the demanders and ensure the security and the validity of the use of the fund of the New Rural Cooperative Medical Scheme,improve the accessi- bility ofthe peasants to the health service settings,ensure the rights and interests of the health service settings,realize the sustainability of the New Rural Cooperative Medical Scheme.Given the current situation,the New Rural Cooperative Medical Scheme has three obstacles to realize the idea of the interest equilibrium：the information systems of the rural institutions and the New Rural Cooperative Medical Scheme are im- perfect,the principal-agent problems between the agent and institutions,the compensation mechanism of the institutions are deficient.And the advices are the mixed payment is ecommended to strengthen supervision,the system mechanism reform of the health service deliveries is the prerequisite,improving the information system construction of the agency and rural institutions.

关 键 词：新型农村合作医疗 利益均衡 支付方式 

分 类 号：R197.1[医药卫生—卫生事业管理]