经济发展新常态下的农村居民大病保险可持续发展研究——基于江苏的实践调研  

Research on the Sustainable Development of Critical Illness Insurance of Rural Residents under the New Normal——Based on the Investigation in Jiangsu Province

作　　者：詹长春[1] 左晓燕[1] 周绿林[1] 

机构地区：[1]江苏大学管理学院

出　　处：《经济体制改革》2016年第5期81-85,共5页Reform of Economic System

基　　金：国家社会科学基金项目"城镇化背景下农民重特大疾病保障和救助机制研究"(13BGL139);国家社会科学基金项目"参合农民重大疾病保障水平适宜度及支付制度研究"(12BGL110);教育部人文社会科学研究青年基金项目"国家基本药物制度实施背景下的基层医疗机构补偿机制研究"(12YJC630280)

摘　　要：经济发展新常态给我国农村居民大病保险可持续发展带来了挑战。本文通过现场调研和深度访谈等方法收集到江苏省6个样本地区大病保险的相关资料数据,结合调研数据分析在当前新环境下大病保险的运行状况,发现筹资机制、补偿机制、收益与风险分担机制是制约大病保险可持续发展的瓶颈因素。基于此,提出经济发展新常态下大病保险可持续发展的路径选择:致力体制创新,从投入驱动发展转向改革驱动发展;注重机制创新,从行政推动发展转向机制驱动发展;聚焦管理创新,从粗放式外延发展转向提质增效的内涵发展。New normal of Chinese economy brings some challenges to the sustainable development of the critical illness insurance of rural residents. This paper collects the relevant data of critical illness insurance of six sample areas in Jiangsu province by field investigation and depth interviews, and analyzes the current situation of critical illness insurance under the new circumstances, finding that financing mechanism, compensation mechanism, earnings and risk-sharing mechanism are the bottlenecks which constrain the sustainable development of critical illness insurance. Based on this, the paper presents paths of the sustainable development of critical illness insurance under the new normal： Firstly, committing to the system innovation, shifting from investment-driven development to reform-driven development; secondly, focusing on the institutional innovation, steering from development driven by administration to development driven by mechanism; thirdly, concentrating on management innovation, turning from extensive epitaxial development to the connotation development which is characterized by high quality and efficiency.

关 键 词：新常态 农村居民大病保险 可持续发展 制约瓶颈 

分 类 号：F197[经济管理—世界经济] C913[社会学]