新型农村合作医疗与我国城乡社会二元制结构——社会商业保险试水农村医保市场机制浅析.pdfVIP

中国卫生事业管理 2∞7 年第3 期(恙第225 期) [重fi市场] 新型农村合作医疗与我国城乡社会二元制结构 一一社会商业保险试水农村医保市场机制浅析 魏晋才I ，黯昌岳2 ，岑君2 (1.温州墨学院，浙江温抖 325035 ;2. 宁波市北仑区卫生局，浙江宁边 315800) [擂要] 20 世纪80 年代以来，隧着我国家庭承包经营土地制度的椎行，传统约农转合作医疗剥皮迅速解体，此，后 各地政府也曾试图恢复合作医疗制度，但大多归于失妓，农民因此失去最基本的医疗保璋。为解决这一问题，2(沟2 年中 央提出了推行新型农村合作医疗制度，至今这一措施，正表珑出较大的制度性优势，并正在改交我国二元销社会结构、建 立和谐社会的进程中发挥着重妥的作用。文章以宁波市北仑区实施新型农村合作医疗约具体措施为研究对象，分析新 农合制度最终走向浅乡社会医疗保障一体化的可能性。 [关键词: 新农合;或乡二元制:社会保障 [中图分类号] Rl97.1 [文戴标tR码] A [文章编号] 1∞44663(2∞7 )03 -0174 -03 New RuraI Cooperative M锐蓝白1 System and City -凶恶ntryside Dual social Structure i显 China -A M配banisms Analysis of Commercial Insura配e Participa:缸gi显 R怒目1 班edi臼1 Insurance Market. / Wei Jin，臼呈， etal.//C挝a能e Healtb Service Abs壮act With the implementation of 也e household ∞ntract responSih这ity system in China , the traditional rural c∞perative medical system had disintegrated quickly sìnce 1980s. Since then , local govemments have 国ed to rehuild the system , hut almost 脱出e to failure. 在lerefore ， p回S四.ts have lost their hasic medical care assurance. In order to solve 出is prohlem , Chinese Communist P.皿yCen国1 Committee proposed to c缸ry out new rural c∞perative medical system in 2仪泣. Until now，也is measure is showing major institutional dominance 皿d play吨import部t role in the proc础。，f changing dnal 盹cial struc阳re and establishing harmonio凶 society. In this paper , we chose the speci亘c meas也哇。f new rural c∞perative medical in Beilun district of Nin如city as 0均创始， and then analyzed 也e prohahi汪ty of inte伊tive social medical care 翻盯扭.ce in city and coun泣yside. Auíbor$ AddrE嚣 Wenzh∞ Medical Sch∞1 ， Wenzhou , Zhejiang Province , R. P China. Key Words New rural c∞perative medical system Ci句 and countryside dual structure