制度嵌入性分析:农民医疗保险的东亚经验与中国道路
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国家社会科学基金项目“财政社会保障支出的公平性研究”(09CZZ032)。


he Analysis of Institutional Embedability:the East Asian Experience on Medical Insurance for Farmersand the Suggestions for China
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    摘要:

    新型农村合作医疗制度虽基本实现全覆盖,但农民医疗保险今后强制或自愿、保持独立或城乡统一、政府管理或农民自治、医疗服务供给的公或私等发展走向仍亟待确定。选择东亚社会保障模式的典型代表——日本和韩国为研究对象,以新制度主义的嵌入理论为思路,对农民医疗保险的东亚经验进行总结。认为经济、社会、政府投入、制度选择等外部关联性因素影响农民社会医疗保险的建立和全覆盖,组织运行、管理机构、医疗服务供给和费用给付等内部关联性因素决定着农村医疗保险制度的运行绩效。在此基础上,提出了对我国农民医疗保险进行全覆盖、城乡统筹、管导统一、公私结合等建议。

    Abstract:

    hough a new cooperative medical system has been established in China,there are still uncertainties concerning whether it is obligatory for the peasants to join the system or they may do it on their own will,whether the system will be run independently or together with the urban system,whether it will be managed by the government or peasants themselves,and whether it will be public or private. This paper employs two typical representatives of the East Asian model of social securityJapan and South Korea as the research object.It summarizes the East Asian experience on medical insurance for farmers through the embedded theory of Neoinstitutionalism.It is found that economic,social,government expenditure,choice of system and other external relevant factors affect the establishment and the process of overall coverage of medical insurance for farmers.Moreover,organization and operation,regulatory agencies,medical services supplies and other internal factors also affect the performance of the system.On this basis,some suggestions have been offered to the medical insurance system in China.

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杨红燕,叶小舟.制度嵌入性分析:农民医疗保险的东亚经验与中国道路[J].华中农业大学学报(社会科学版),2010(3):49-55

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