农民主体作用的发挥与新型农村合作医疗制度的可持续发展  

Farmers as the Main Body of the New Rural Cooperative Medical System and Its Sustainable Development

作　　者：刘雅静[1] 

机构地区：[1]山东大学马克思主义学院,山东济南250100

出　　处：《江西农业大学学报（社会科学版）》2011年第2期36-42,52,共8页Journal of Jianxi Agricultural University :Social Sciences Edition

基　　金：教育部人文社会科学研究规划项目(06JA790059);山东大学自主创新基金项目(IFW09158)

摘　　要：农民不仅是新型农村合作医疗制度的重要认知主体,也是重要的参与主体,同时还是该制度的重要监督主体和受益主体。但实践中,由于受各种因素影响,农民的主体作用尚未充分发挥出来:一是部分农民对新型农村合作医疗制度能否实现可持续发展仍抱有怀疑态度,投资参合意愿并不强烈;二是部分参合农民在医疗服务利用方面存在"道德风险",侵蚀了广大参合农民的权益;三是参合农民普遍存在"搭便车"心理,影响了参合农民监督职能的发挥。因此,要实现新型农村合作医疗制度的可持续发展,必须充分重视和发挥农民在新型农村合作医疗制度中的主体地位和主体作用,千方百计调动广大农民群众参与的积极性,并想方设法减少或避免参合农民的"道德风险"。Farmers are the important players of the new rural cooperative medical system.They are an important cognizant and participative body as well as an important monitor and beneficiary of the system.However,in reality,there is room for farmers as participants to improve in playing their due role.On the one hand,either skepticism about the system＇s sustainability or lack of health investment awareness has affected the enthusiasm or involvement of some yet to become beneficiaries.On the other hand,problems of beneficiary＇s interest erosion from ＇moral hazards＇ in medical services,or beneficiary＇s widespread belief in free rider have constrained their monitoring performance.Therefore,for the sustainable development of the new rural cooperative medical care system,it is imperative to fully recognize and bring into play the main status and function of farmers,and try every possible means to mobilize and enhance the active participation by farmers and reduce or keep the above-mentioned ＇moral hazard＇ from eroding its beneficiary＇s interest.

关 键 词：农民主体 新型农村合作医疗制度 可持续发展 

分 类 号：F323.89[经济管理—产业经济]