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城乡居民大病保险筹资机制研究回顾、国际镜鉴与优化建议

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城乡居民大病保险制度是国家缓解城乡居民因病返贫致贫问题的一项重要制度设计.但受筹资渠道、资金来源等因素影响,制度发展的可持续性长期受到质疑.基于此,本文以展现城乡居民大病保险筹资机制研究的理论全貌为线索,采取"继承研究传统—借鉴国际经验"的分析思路,对2012年以来学术界关于大病保险筹资机制研究的相关文献进行梳理分析,并结合对德国和新加坡在大病保障资金筹集管理方面的经验镜鉴,从大病保险的制度定位出发,围绕大病保险筹资机制的优化,从筹资责任、筹资标准、筹资渠道等方面提出具体建议.
Research Review,International Experience and Optimization Suggestions on Financing Mechanism of Urban and Rural Residents' Serious Illness Insurance
The serious illness insurance system for urban and rural residents is an important institutional design to alleviate the problem of returning to poverty due to illness and poverty caused by illness among urban and rural residents in China. However,the sustainability of institutional development has long been questioned due to factors such as funding channels and sources. Based on this,the study takes the theoretical overview of the research on the financing mechanism of serious illness insurance for urban and rural residents as the clue,adopts the analytical approach of "inheriting the research tradition and drawing on international experience",analyzes the relevant literature on the financing mechanism of serious illness insurance in academia since 2012,and combines the experience of Germany and Singapore in the management of serious illness insurance fund raising. Starting from the institutional positioning of serious illness insurance,specific suggestions are proposed from the aspects of financing responsibility,financing standards,and financing channels,focusing on the optimization of the financing mechanism of serious illness insurance.

urban and rural residents' serious illness insurancefunding responsibilityfunding standardfunding channel

张心洁、周香岑、张琼、喻霞

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江苏大学管理学院 镇江 212013

居民大病保险 筹资责任 筹资标准 筹资渠道

2024

中国医疗保险
中国医疗保险研究会

中国医疗保险

影响因子:0.492
ISSN:1674-3830
年,卷(期):2024.(12)