摘要
新型农村合作医疗(新农合)的筹资主要来自政府补助。对于很多县级政府来说,其新农合筹资来自上级政府(主要是中央政府和省级政府)的补助金,这对于新农合的平稳实施至关重要。然而,由于新农合补助金是一种带有配套要求的专项补助,而上级政府大多采用一刀切式的固定金额补助法,这样财力较弱、农业人口比重高的地方政府不得不承担相对较大比重的筹资责任。为了发挥上级政府补助金推进地方政府财力横向均等化的作用,促使财力不同的地方政府为民众提供大体相同的新农合服务,有必要在政府间转移支付上探寻更为制度化的方法。
New-type cooperative medical schemes （NCMSs） in rural China are financed mainly by government subsidies. For many county governments, the subsidies mainly from the governments at the provincial and central levels are critical to the smooth implementation of the schemes. Since the NCMS subsidies are appropriated as a categorical grant with matching requirement and fixed-rate, local governments with high proportion of agricultural population and weak financial strength have to bear heavier financing responsibility for the schemes. Therefore, the government subsidies from the provincial and central levels must play a role of equalizing local financial capacities so as to provide relatively equal health care security services to local people of different financial situations. To do so, more institutionalized fiscal arrangement for inter-government transfers should be explored.
出处
《财经研究》
CSSCI
北大核心
2006年第11期37-46,共10页
Journal of Finance and Economics
关键词
政府间转移支付
新型农村合作医疗
横向均等
公共服务
inter-government transfers
new- type cooperative medical schemes （NCMSs）
horizontal equalization
public services
