大连市金州区新型农村合作医疗制度的公平性考量.PDFVIP

— 70 — 　　　　　　　　　　　　　　　　　　　　　Ch ine se M edical Eth ic s 2006 A ug. 4 ( Gen. 108) 大连市金州区新型农村合作医疗制度的公平性考量 孙宏亮 ,王东红 (大连医科大学社会科学与管理科学学院 ,辽宁　大连 　116027) 摘〔要 〕公平性是医疗保障的本质和核心 ,金州区新型农村合作医疗制度体现了社会公正的基本原则 : 1基本医疗权利保证 的原则 ; 2机会平等原则 ; 3 人道主义原则 ; 4 公平与效率相结合的原则 。但同时也存在一些不公平之处 ,具体表现为 : 1 自愿与 强制的二律背反 ; 2 供给与需求的悖论 ; 3预防与治疗的张力 。 关〔键词 〕新型合作医疗 ;公平 ;考量 〔中图分类号 〕R 127　　　 文〔献标识码 〕A 　　　 文〔章编号 〕100 1 - 8565 (2006) 04 - 0070 - 03 The Equ ity Con sidera tion of New Rura l Coopera tive M ed ica l Sy stem in J in Zhou D istr ict D a lian The Colleg e of S ocia l S cience and A dm in is tra tion S cience (D a lian M ed ica l Un ivers ity L iao n ing, D a lian, 116027) A b stract: The F ifth P lenary Se ssion of the Party ’s sixteen th m eeting is clearly stated that con structing new ru ral area s of socialism is great h istoric m ission in Ch ina ’s modern ization p roce ss, imp roving the ru ral m edical secu rity system is an importan t p art of con structing new ru ral area of socialism. Equ ity is the e ssence and core of m edical secu rity, new ru ral coop erative m ed ical system embodie s the ba sic p rincip le s of social ju stice in J in zhou district: 1, the p rincip le of ba sic m edical righ t guaran tee; 2 , the p rincip le of equal opportun ity; 3 , the p rincip le of hum an itarian ism ; 4 , the p rincip le com b in ing equ ity w ith efficiency. Bu t at the sam e tim e, there are still som e inequ itie s, sp ecific p erform ance s: 1, the con trary of free w ill and force; 2 , the p rob lem of supp ly and need; 3, ten sion of p reven ting disea se and cu ring disea se. Key words: new ru ral coop erative m ed ical; system ; equ ity con sideration [