【作者】 刘述娥；

【导师】 宋冬林；

【作者基本信息】 吉林大学 ， 政治经济学， 2006， 硕士

【摘要】 建立新型农村合作医疗制度是保障农民健康权利,解决三农问题,落实以人为本,树立全面、协调、可持续发展的科学发展观的重要举措。本文从制度内外对新型农村合作医疗制度的公平性进行了研究。论文第一部分分析了建立新型农村合作医疗制度的背景,指出了合作医疗变迁过程中所存在的制度内外的不公平是其难以持续发展的重要原因。第二部分是文献综述,分别介绍了西方经济学的几种公平观,并对这几种公平观进行了评价,接着介绍了卫生公平的内涵及测量方法,并对我国卫生领域的公平性研究作了综述。第三部分回顾了传统合作医疗制度的历史演进及其对农民健康、农村发展的意义,然后指出了建立新型农村合作医疗制度的必要性及其特点。第四部分从制度内外分析了新型农村合作医疗制度的公平性:在制度外的不公平中,指出卫生资源在地区之间、城乡之间分布不公平,统一的市场价格使得农民的卫生费用负担重以及不同的保险制度之间存在不公平性;在制度内的不公平中,指出了新型农村合作医疗制度在资金筹集、卫生服务利用以及医疗费用的补偿上都存在不公平性;同时分析了其筹资效率以及资金使用效率。最后一部分,立足我国国情,提出了促进新型农村合作医疗制度的公平性的政策建议。更多还原

【Abstract】 China is a large agricultural country, and rural people are the main part of the society. Since the reform and opening-up, rural medical condition has been greatly improved, and the lack of doctors and medicine has been solved to some extent. However, because of the unhealthiness of the rural medical security system of most places, many rural people have to pay their fee-for-service nearly all by themselves, and it is a great burden to them. Thus comes the problem of medical treatment for the rural people. This phenomenon disposed the seriousness of rural medical security system, and hindered the development of the rural society. To set up and perfect the new rural cooperative medical scheme (CMS) is significant to the stability and development of the whole society.This paper provided a study of the equity of the new rural CMS. First it generalized the environment of establishing the new rural CMS, and pointed out that the equity of the scheme both internal and external is an important factor to the sustaining development of the scheme.The second part reviewed the literatures on health equtiy. It introduced several equity views of economics, including the view of the Economics of Welfare and Utilitarianism which emphasizes the equity of the division result, the view of Classical Liberalism which emphasizes the original equity, and the view of John Rawls in his book a theory of justice which emphasizes the benefit of the least-benefited people, and also appraised the three views. It generalized the meaning of the health equity and appraising indexes, and introduced Range, Lorenz curve and Gini coefficient, Index of Dissimilarity(ID), Concentration index and Theil index. It also introduced the progress of research about health equity, the inequity of the using of the medical service, financing and the medical resources distribution.The third part generalized the evolvement of the CMS. First it reviewed the history of traditional CMS and its historic function, then it analyzed the rural更多还原