摘要
医疗保障水平是指政府或社会承担个人医疗支出的人均水平。该文通过在对我国农村GDP估算的基础上,测算了滇、黔、陕、甘、青等五个西部贫困省份农村的医疗保障水平。2012年这五省份农村人口平均的医疗保障水平为占当地GDP的2.86%-4.62%,其中新农合的医疗保障水平为占当地GDP的2.68%-3.97%,均高于该指标全国平均1.31%和1.25%的水平。西部贫困省份较高的医疗保障支出水平源于中央财政的巨额补助。在总体上,目前我国贫困地区农村人口的医疗保障体制呈现为筹资渠道单一、保障水平不统一、资金管理和使用成本高等问题。文章提出建立以商业保险为主的农民医保金融服务体系是未来西部农村医疗保障体制改革的方向。
The medical security level refers to the per capita level government or society to take personal medical expenditure. The paper based on the estimation of China＇s rural GDP, measured the level of medical security in Yunnan, Guizhou, Shaanxi, Gausu, Qiughai and so on five rural poor western provinces. In 2012 these five provinces in rural population average level of medical care for the account of the local GDP 2.86% - 4.62% , where the level of medical security of NCMS accounted for local GDP 2.68% - 3.97%, were higher than the national average of 1.31% indexes and 1.25% level. Medical security expenditure level source poor western provinces high huge subsidies to the central government. In general, the poor area rural population in China medical security system appears as a single fund-raising channels, the security level is not uniform, and the use of funds management cost higher problem. This paper proposes the establishment based on commercial insurance primarily farmers insurance financial service system is the future direction of the health insurance sys- tem reform in western rural areas.
出处
《上海经济研究》
CSSCI
北大核心
2015年第3期117-122,共6页
Shanghai Journal of Economics
基金
贵州省软科学"贫困地区农村医疗改革的金融服务支持体系研究"([2012]LKC2001号)
关键词
农村医疗保障水平
新型农村合作医疗
贫困地区
农村医疗保障改革
rural medical insurance level
new rural cooperative medical system
poverty area
ruralmedical security reform
