从“因病滞贫”看农村医疗保障制度改革

发布时间：2018-03-20 01:15

本文选题：因病滞贫　切入点：支出性贫困　出处：《探索》2017年02期 　论文类型：期刊论文

【摘要】：当前精准扶贫要顺利度过啃硬骨头的冲刺期,就必须走出"因病滞贫"的现实困境。而推进农村医疗保障制度改革,是走出"因病滞贫"困境的关键环节。这是因为,"因病滞贫"本质上是一种"支出性贫困"状态,而农村医疗保障制度是"支出性贫困"的有效化解机制。从功能上来看,农村医疗保障制度可以增加疾病型农村贫困人口的政策转移性收入,可以转移疾病型农村贫困人口的疾病支出性风险,可以拓展疾病型农村贫困人口的脱贫禀赋性能力。要走出"因病滞贫"的现实困境,就必须推进农村医疗保障制度改革。一要着力增强农村医疗保障制度的契合度;二要努力践行大病治疗付费与结算机制;三要积极完善医疗救助制度;四要尽快健全社会力量参与机制。
[Abstract]:In order to get through the period of gnawing hard bones smoothly, we must get out of the current predicament of "stagnation of poverty due to illness" and push forward the reform of the rural medical security system. It is a key link to get out of the predicament of "stagnation of poverty due to illness". This is because "stagnant poverty due to illness" is essentially a state of "expandable poverty", while the rural medical security system is an effective mechanism to resolve "expandable poverty". The rural medical security system can increase the policy transfer income of the disease-type rural poor, and can transfer the disease expenditure risk of the disease-type rural poor. It is necessary to promote the reform of rural medical security system if we want to get out of the predicament of "stagnation due to illness". First, we should strengthen the compatibility of rural medical security system. Second, we should make great efforts to practice the payment and settlement mechanism for the treatment of serious illness; third, we should actively improve the medical aid system; fourth, we should improve the social force participation mechanism as soon as possible.
【作者单位】：江西财经大学财税与公共管理学院;
【基金】：江西全面建成小康社会决策支持协同创新中心2016年招标重点项目“江西省国定贫困县脱贫摘帽的对策研究”(XKZXZD20171002);项目负责人:陈成文
【分类号】：R197.1;D632.1

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