关于社会保险承办机构增能的新思考.pdfVIP

第27卷第4 期 Vol. 2 7 , No. 4 大连理工大学学报(社会科学版) 2006 年 12 月 Journal of Dalian University of Technology CSocial Sciences) Dec.2006 关于社会保险承办机构增能的新思考 刘晓梅，宋 娟，李凤月 (东北财经大学公共管理学院，辽宁大连，116025) 摘 要:在欧洲各国的医疗保险制度改革中，有一种新的改革设计方案-一一管理下的竞争 (managed competi- tion) 方案被看好。这套方案主要是在基本医疗保险制度中引入市场原理。它不期待社会保险承办机构和医疗机构从 善意出发来保护患者利益。而是设计一种制度，促使医疗保险承办机构为患者的利益而行动，这也是一种带有动力机 制的制度，促使医疗机构提供既有效率、又有效呆的医疗服务。本文在介绍管理下的竞争这一改革方案的同时，分析我 国医疗保障制度的不足，提出改革建议。 关键词:医疗保险承办机构的功能;管理下的竞争;医疗保险改革 中图分类号: C913. 7 文献标识码:A 文章编号: 1008-407X(2006) 04-0053-05 New reflection on enhancing the functions of the social insurance operation agencies from the new angle L1 U Xiao-mei , SONG Juan , LI Feng-yue (School of Public Administration , Dongbei University of Finance and Economics ,Dalian 116025 ,China) Abstract: In European countries , during the reform of the medical insurance system , there is a new design of the reform program named the managed competition which has been put more attention to. This program is to introduce market principles into the basic medical insurance system. lt is not prospected that the medical insur- ance operation agencies and the medical institutions will protect the interests of the patients from the perspec- tive of goodwil l. So , on the contrary , this reform program promotes the medical insurance operation agencies acting in the interests of the patients by designing a system which has the dynamic mechanism. The managed competition can promote the medical institutions to provide some efficient and effective medical se