首页|泰国社会保障的演进历程、核心特征与经验镜鉴

泰国社会保障的演进历程、核心特征与经验镜鉴

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高质量社会保障体系是促进经济发展、维护社会公平、增进民生福祉的关键路径与制度保证.作为全球新兴工业国家,泰国是东南亚地区较早建立社会保障制度的国家之一,其社会保障发展历经混乱统治下的艰难创立阶段与民主道路下的优化升级阶段,实现了从无到有、从有到优的结构性变革,完成了从仅针对特殊群体的初步框架到群体扩张、较为完善保障体系的关键蜕变.泰国围绕社会保障立法、社会保险项目扩充、社会救助体系构建及全民健康推进等要旨渐序推进其体系化建设.立足多维要素、经济优先、碎片差异、家庭兜底及公民健康等特征,泰国社会保障体系形塑"低成本投入,高效能保障"范例的同时,也存在泛政治化、碎片化的潜在弊端,致使其社会保障体系对经济发展、社会稳定、公平维护等产生利弊双刃剑影响.泰国社会保障体系在家庭潜能的培育、人力资本的开发、公正平等的促进上取得较大成效,尤其是其全民医疗创新实践的成功,更是证明了普惠医疗并非发达福利国家的"专利".泰国社会保障的发展可为发展中国家提供经验借鉴,社会保障制度的构建需在动态社会保障体系的建设、社会保障功能的评估与监测、家庭社会保障的建构及全民健康福祉的推进等方面加强科学性整合与内源性改革.
The Evolution,Core Characteristics and Practical Enlightenment of Social Security in Thailand
A high-quality social security system is the key path and institutional guarantee for promoting economic develop-ment,maintaining social equity and enhancing people's well-being.As an emerging industrial country in the world,Thailand is one of the earliest countries in Southeast Asia to establish a social security system,which has gone through an arduous establish-ment under chaotic rule and an optimization and upgrading under democracy,achieving dramatic structural change from scratch and realizing the key transformation from the initial framework only for special groups to the expansion of groups and a rela-tively sound social security system.Thailand is gradually advancing the systematic construction of its social security legislation,expansion of its social insurance programme,establishment of its social assistance system,and promotion of universal health cov-erage.Following multi-dimensional factors,economic priority,fragmented differences,family support and citizens'health,Thai-land's social protection system,while shaping the paradigm of"low-cost inputs,high-efficiency protection",has also been en-dowed with the potential drawbacks of widespread politicization and fragmentation,which has had a double-edged impact on eco-nomic development,social stability and the maintenance of equity.Thailand's social security system has achieved significant re-sults in cultivating family potential,developing human capital and promoting fairness and equality.In particular,the success of its innovative universal healthcare practice proves that inclusive healthcare is not exclusive to developed welfare countries.The de-velopment of social security in Thailand provides practical inspiration for developing countries.In the future,the system needs to strengthen scientific integration and endogenous reforms in the construction of a dynamic social security system,the evaluation and monitoring of social security functions,the construction of social security for families,and the promotion of health and well-being for all.

Thailandsocial securityhigh-quality developmenthealth for all

张浩淼、谭洪、王桢钰

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四川大学公共管理学院,四川成都 610065

四川大学劳动与社会保障系

中山大学政治与公共事务管理学院,广东广州 510006

泰国 社会保障 高质量发展 全民健康

国家社会科学基金重大项目

22&ZD060

2024

东南亚纵横
广西社会科学院东南亚研究所 广西东南亚经济与政治研究中心

东南亚纵横

CHSSCD
影响因子:0.695
ISSN:1003-2479
年,卷(期):2024.(1)
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