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从自愿与强制之争看新农合的参与原则 被引量:2

Voluntary vs. compulsory: on participative principle of new Rural cooperative medical system
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摘要 基于新型农村合作医疗参与原则存在广泛争议的事实,首先利用文献分析方法回顾了自愿和强制原则的基本观点、理由、缺陷及受到的批评;其次对参与原则进行了讨论和评价,运用公共经济“外部性”理论对强制原则进行了理论补充,强调应辨证地看待自愿与强制的关系;最后提出了相应的政策建议:需要进一步明确新型农村合作医疗的性质;研究影响参合率的关键因素;探讨在自愿原则下如何提高参合率;4、探索自愿向强制过渡的有效途径。 This paper discussed the participative principle of new rural cooperative medical system (NRCMS), which is an issne in dispute. First, the basic viewpoints, reasons, deficiencies of two different opinions (Voluntary and Compulsory) were reviewed respectively. Second, the authors discussed and commented the participative principle, complemented the grounds for Compulsory with Externality theory from public economics, and stressed that the relationship of Voluntary and Compulsory should be seen dialectically. Finally some policy suggestions were proposed: (1) Ascertain the essentiality of NRCMS, (2) Find the key influence factors to participative ratio, (3) How to increase participative ratio in Voluntary principle, and (4)Explore the reasonable paths from Voluntary to Compulsory.
出处 《中国农村卫生事业管理》 2007年第3期167-171,共5页 Chinese Rural Health Service Administration
关键词 新型农村合作医疗 参与原则 自愿 强制 New rural cooperative medical system (NRCMS), Participative principle, Voluntary participation, Compulsory participation.
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