|本期目录/Table of Contents|

 我国台湾地区“全民健保”制度的财务困境及其解决之道——基于新制度主义视角(PDF)

《内蒙古大学学报(社会科学版)》[ISSN:1000-9035/CN:22-1262/O4]

期数:
2017年03期
页码:
56-60
栏目:
政治与公共管理研究
出版日期:
2017-05-15

文章信息/Info

Title:
 The Financial Crisis of the System of National Health Insurance in Taiwan and Its Solution
——Based on the Perspective of New Institutionalism
作者:
 杨中浩
 北京大学政府管理学院,北京 100871
Author(s):
 YANG Zhong-hao
 School of Government, Peking University, Beijing 100871, China
关键词:
 “全民健保”制度新制度主义支付制度医药分离
Keywords:
 National Health Insurance (NHI) new institutionalism payment system separation of prescribing and dispensing (SPD)
分类号:
-
DOI:
-
文献标识码:
A
摘要:
 医疗保障是公共服务的主要内容和公共财政的重要支出,其运行模式和财务状况体现着国家和地区治理体系和治理现代化的水平。我国台湾地区“全民健保”制度的财务困境对旧医保制度存在依赖,制度形成后的自我强化对财务困境具有一定的锁定效应和影响。解决这种财务困境的途径在于:制度的调整应规避“路径依赖”的陷阱,制度修订应与医疗服务内容和经济发展特点相适应,扩大制度论证环节的公民参与度,积极推进全民公共道德教育。
Abstract:
 Medical security is the main content of public service and the important expenditure of public finance. Its operation mode and the financial status of medical security reflect the level of the national and the regional governance system and governance modernization. The financial crisis of the system of National Health Insurance in Taiwan is dependent on the old medical insurance system. The self-reinforcement after institutional formation has a certain locking effect and influence. The ways to solve this financial distress are:examine if there are any traps when "The three--in-one insurance" implementing, pay attention to collusion of changing policies and content of medical service and economic development,expand citizen participation,combine with education of civic morality.

参考文献/References

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[3]张博雅.全民健康保险政策[J].理论与政策,1995,(15).
[4]陈丽春.从新制度主义观点探讨全民健保总额支付制度[D].台湾省成功大学政经研究所硕士论文,2007.
[5]黄文鸿.全民健保药品支付范围及药价基准之研究[J].公共卫生学会杂志,1990,(1).
[6]蔡相廷.历史制度主义的兴起与研究取向——政治学研究途径的探讨[J].台北市立教育大学学报,2010,(2).

备注/Memo

备注/Memo:
 收稿日期:2017-03-17
作者简介:杨中浩,男,台湾台中市人,北京大学政府管理学院,博士研究生。
更新日期/Last Update: