阶层视角下基本医疗保险制度的碎片化及整合研究  

Research on the Integration and the Fragmentation of China's Medical Insurance from the Perspective of Social Stratum

作　　者：宋娟[1,2] 

机构地区：[1]内蒙古大学公共管理学院社会保障系 [2]中国人民大学劳动人事学院

出　　处：《中州学刊》2017年第10期62-67,共6页Academic Journal of Zhongzhou

摘　　要：由于缺乏顶层设计,我国基本医疗保险制度日渐形成碎片化格局。医保碎片化即基本医疗保险制度体系被诸多要素分割的状态,通常指向制度多元、制度壁垒、制度差异性等。从阶层视角看,医保碎片化不仅体现为城乡的二元碎片状态,而且呈现出阶层维度下的多元碎片问题。这种碎片化既体现在阶层之间,又体现在阶层内部。"十三五"开端,基本医疗保险迎来制度整合的新挑战和新发展。在各地进行医保整合的实践探索中,有必要从阶层视角重新审视并优化整合方案。医保整合不仅是城乡整合,更要实现阶层整合。Because of the lack of top-level design,China＇s basic medical insurance system is becoming fragmented.Medical insurance fragmentation means that social insurance system is divided into several fragments by some social factors,which are related to institutional pluralism,barriers and differences.From the perspective of social stratum,medical insurance fragmentation is not only reflected in urban and rural two dimensions,but also presents the problem of multiple fragmentation under the stratum perspective.These fragmentations are not only reflected between the different stratums,but also in the same stratum.At the beginning of the 13th five-year plan,the basic medical insurance faces new challenge and development of institutional integration.In the local practice of medical insurance integration,it is necessary to review and optimize the integration plans from the perspective of social stratum.The integration of medical insurance is not only the integration of urban and rural areas,but also the integration of the different classes.

关 键 词：医保碎片化 阶层碎片化 医保整合 

分 类 号：F840.613[经济管理—保险]