德国法定医疗保险谈判机制探析  

Negotiation Mechanism under the Self-governing System in German Statutory Health Insurance

作　　者：华颖[1] 

机构地区：[1]中国人民大学中国社会保障研究中心,北京100872

出　　处：《中国医疗保险》2013年第6期68-70,共3页China Health Insurance

摘　　要：德国医疗保险谈判以利益相关者的自治管理、共同参与为基础,国家只提供法律框架和监督,具体的实施和细节的拟定则交由自治管理的疾病基金和医疗服务提供者。这些彼此制衡的利益相关者通过不同层面的平等互动、透明协商,取得共识和平衡点,共同治理医疗保险系统。德国自治管理体制下的医疗保险谈判在塑造国家、市场和医疗保险系统间的理性关系,维系医疗保险系统内部利益相关者的良性互动,以及保障医疗保险制度有效运行方面发挥了至关重要的作用。Germany operates its health insurance negotiation on the basis of the self-governance system and joint participation of stakeholders. The state provides only the framework and supervision, leaving the implementation and detailing to the self-governing institutions of sickness funds and healthcare providers. Through the interactions and negotiations on different levels, these stakeholders agree on a series of issues and reach a balance of interests. The negotiation under the self-governing system in German statutory health insurance plays a crucial role in shaping rational relationships among the state, market and health insurance system, maintaining beneficial interactions among stakeholders, ensuring an effective and stable health insurance system.

关 键 词：德国 法定医疗保险 自治管理 谈判 

分 类 号：F845.16[经济管理—保险]