在精准扶贫中构建因病致贫返贫治理体系.PDFVIP

〉〉观察思考 在精准扶贫中构建 “因病致贫返贫”治理体系 林闽钢 （南京大学社会保障研究中心 南京 210023） 【摘要 】目前，“因病致贫返贫”仍是农村贫困群体的主因。在精准扶贫中构建“因病致贫返贫”治理 体系是促进社会政策和经济政策相互作用，提升整体性贫困治理效果的关键。本文认为需要构建多层次的“因 病致贫返贫”治理体系，即医疗救助制度是基础；新农合制度是主干；医疗大病保险和疾病应急救助是补充； 商业健康保险和慈善救助是再补充，并实现有效衔接。需要构建积极、有效的“因病致贫返贫”治理体系， 即“建库立卡”为重点，进行分类瞄准和管理 ；将社会工作引入治理体系，建立“缓医难”机制 ；确立农 村分级诊疗模式，发挥基层医疗卫生机构作用。 【关键词 】精准扶贫 ；因病致贫返贫 ；医疗救助 ；新农合 ；治理体系 【中图分类号 】F840.684 C913.7 【文献标识码 】 A 【文章编号 】1674-3830（2016）2-20-3 doi:10.369/j.issn.1674-3830.2016.2.5 Constructing a Governance System for “Poverty and Re-poverty Caused by Disease” in Targeted Poverty Alleviation Project　Lin Mingang(Social Security Research Center of Nanjing University, Nanjing, 210023) Currently, ‘poverty and re-poverty caused by disease’ is still the main cause of poverty in rural 【Abstract 】 population. Constructing a governance system for ‘poverty and re-poverty caused by disease’ in targeted poverty alleviation projects is the key part in promoting the interaction between social policy and economic policy, and in improving integral effect on poverty control. In this paper, we argue that it is necessary to construct a multilayer governance system, which takes medical assistance system as a base, New Rural Cooperative Medical System as a main force, catastrophic medical insurance and disease emergency assistance as supplements, and commercial health insurance and charitable aid as re-supplements, and ensures them to be effectively connected. Besides, we also consider that this system should be positive and effective by establishing database and information card as a main task to manage them by categories; by introducing social work into governance system to establish ‘relieving difficulties in accessing medical services’ mechan