中国医疗保险管理体制变革研究:府际关系的视角  

Understanding the Health Insurance Management in China from the Perspective of Inter-governmental Relation

作　　者：鲁全[1,2] Lu Quan(School of Labor and Human Resource Management,Renmin University;China Association of Social Security,Beijing 100872)

机构地区：[1]中国人民大学劳动人事学院 [2]中国社会保障学会,北京100872

出　　处：《中国行政管理》2022年第2期77-82,共6页Chinese Public Administration

基　　金：国家社会科学基金项目“中国社会保险管理体制研究”(编号:19BGL202)。

摘　　要：中国医疗保险管理体制政府主导的特征决定了府际关系是理解其变迁和改革的重要视角。其中,横向部门间关系是医疗保障整体转型过程中管理体制分割的历史性因素;而统一基本医疗保险管理体制的改革过程则由于中央层级横向部门间分工的模糊导致了纵向上地方政府决策的困境,而最终仍需要通过中央政府决策来解决。未来,医疗保险统筹层次提高与行政机构纵向上职责同构的冲突将成为进一步优化医疗保险管理体制的关键议题。While the government plays an important role in the health insurance management in China,we will better understand the process of it from the perspective of inter-governmental relation.In the history,the integration of rural-urban health insurance management can be explained by horizontal relation,and the division of different ministries in central level led to the confusion of local government in choosing the sector of the management till the central government made decision in 2018.In the future,the conflict between the raising of social health insurance pooling and the isomorphic responsibilities will be the key issue to deal with.

关 键 词：府际关系 医疗保险 管理体制 

分 类 号：D035[政治法律—政治学]