流动人口医疗保障的三大问题  

Three issues of migrants'health insurance in China

作　　者：吴少龙[1,2] 凌莉[1,2] 

机构地区：[1]中山大学公共卫生学院,广东广州510080 [2]中山大学流动人口卫生政策研究中心,广东广州510080

出　　处：《中国卫生政策研究》2012年第6期30-36,共7页Chinese Journal of Health Policy

基　　金：国家自然科学基金(71003109);CMB项目(10-009)

摘　　要：流动人口医疗保障存在没有参保、间断参保和重复参保三大问题,对中国实现全民医保形成挑战。这三大问题既是社会医疗保险体制的制度缺陷造成的,如碎片化、非正规就业、逆向选择和风险选择,也是中国特有的体制问题造成的,如户籍制度、干部目标考核责任制、机会主义行为。面对三大问题,中国政府在医疗保障方面已经进行了很多政策干预,取得了一些成效。彻底解决这三大问题,需要我们总结过去十年中国的医疗保障发展经验,充分借鉴吸收国外经验。There exist three big issues of health insurance among migrants in China： Uninsured, intermittent enrolling and repeated enrolling. This has become a major barrier for China to achieve universal coverage. These three issues are not only caused by defects of social health insurance system including fragmentation, informal em- ployment, adverse selection and risk selection, but also caused by China＇ s special management system including household registration system, performance target assessment system for officials, opportunism behaviors. Facing these three challenges, the Chinese government has implemented a lot of policy interventions on health insurance and gets better results. To finally solve the three issues, we should synthesize China＇ s experiences of developing health insurance in the last ten years and adequately draw upon international experiences

关 键 词：医疗保障 流动人口 问题 

分 类 号：R197.1[医药卫生—卫生事业管理]