摘要
解决好农村劳动力就业流动过程中医疗保险的转移接续问题,不仅是加强民生建设、促进社会公平的重要内容,也是激发经济发展内生动力的关键。农村劳动力群体流动性强、就业技能低、缺乏劳动合同保障等特点使其医疗保险转移接续问题也具备特殊性。目前我国农村劳动力的医疗保险转移接续在制度设计、缴费年限互认、统筹基金转移、重复参保、待遇等方面存在障碍。因此,加强医疗保险转移接续的精准设计、以包容性制度安排减少医疗保险关系转移接续的需求、健全政府间的责任分担机制、建立高效的信息管理系统是当前完善统一的城乡居民基本医疗保险制度、增进人民福祉、促进社会公平的现实选择。
It is important to strengthen people’s livelihood construction and promote social equity by solving the problem of the transfer and continuity of medical insurance in the process of rural labor employment flows, which specifically is also a key to stimulating the endogenous power of economic development. The transfer and continuity of medical insurance is unique for rural laborers owing to their strong mobility, low employment skills, and lack of labor contract guarantees and other features. Through the analysis of the current situation of rural labor employment flows and the medical insurance supply, it is discovered that there are many obstacles of rural labor medical insurance in the system design, mutual recognition of records, overall fund transfer, repeated medical insurance, treatment and other aspects. Therefore, strengthening the accurate design, reducing the demand with inclusive institutional arrangements, improving the responsibility sharing mechanism between governments and establishing an efficient information management system are the realistic choices to advance the transfer and continuity of medical insurance, to enhance the well-being of the people as well as to promote social equity.
作者
杨林
柳俊燕
Yang Lin;Liu Junyan
出处
《南开学报（哲学社会科学版）》
CSSCI
北大核心
2020年第2期69-79,共11页
Nankai Journal:Philosophy,Literature and Social Science Edition
基金
山东省社会科学规划项目(19BJCJ66)。
关键词
农村劳动力
医疗保险
转移接续
Rural Labor
Medical Insurance
Transfer and Continuity
