| 引用本文：吴少龙,凌莉.流动人口医疗保障的三大问题[J].中国卫生政策研究,2012,5(6):30-36 |
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| 流动人口医疗保障的三大问题 |
| 投稿时间：2012-04-12 修订日期：2012-05-16 PDF全文浏览 HTML全文浏览 |
| 吴少龙1, 凌莉1 |
| 中山大学公共卫生学院，中山大学流动人口卫生政策研究中心 |
| 摘要:流动人口医疗保障存在没有参保、间断参保和重复参保三大问题，对中国实现全民医保形成挑战。这三大问题既是社会医疗保险体制的制度缺陷造成的，如碎片化、非正规就业、逆向选择和风险选择，也是中国特有的体制问题造成的，如户籍制度、干部目标考核责任制、机会主义行为。面对三大问题，中国政府在医疗保障方面已经进行了很多政策干预，取得了一些成效。彻底解决这三大问题，需要我们总结过去十年中国的医疗保障发展经验，充分借鉴吸收国外经验。 |
| 关键词:医疗保障 流动人口 问题 |
| 基金项目:国家自然科学基金（71003109）；CMB项目（10—009） |
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| Three issues of migrants’ health insurance in China |
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| Abstract:There exist three big issues of health insurance among migrants in China: Uninsured, intermittent enrolling and repeated enrolling. This has become a major barrier for China to achieve universal coverage. These three issues are not only caused by defects of social health insurance system including fragmentation, informal employment, adverse selection and risk selection, but also caused by China’s special management system including household registration system, performance target assessment system for officials, opportunism behaviors. Facing these three challenges, the Chinese government has implemented a lot of policy interventions on health insurance and gets better results. To finally solve the three issues, we should synthesize China’s experiences of developing health insurance in the last ten years and adequately draw upon international experiences. |
| Key words:Health insurance Migrants Issues |
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