| 引用本文：李亚青.政府购买服务模式下的大病保险有效监管研究[J].中国卫生政策研究,2017,10(4):24-30 |
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| 政府购买服务模式下的大病保险有效监管研究 |
| 投稿时间：2017-02-20 修订日期：2017-04-10 PDF全文浏览 HTML全文浏览 |
| 李亚青 |
| 广东财经大学金融学院 广东广州 510320 |
| 摘要:大病保险是我国简政放权、建设服务型政府的重要尝试。在政府购买服务的发展模式下，有效监管是保障和提升大病保险制度效果的关键环节。文章首先剖析了大病保险“服务外包”的运行机制及其特征，随后从理论上探讨了大病保险的法律属性和监管责任。在此基础上，文章从监管责任、监管主体、监管内容、监管方式和手段等方面对目前大病保险监管存在的主要问题进行了分析。最后，针对上述问题，文章提出要重新明晰政府的责任边界、建立多部门沟通协调机制、尽快制订省级统一的招标规范、建立完善的绩效评估机制、大力推行信息共享和数字化监管手段，以实现大病保险的有效监管。 |
| 关键词:大病保险 政府购买服务 监管 |
| 基金项目:教育部人文社会科学青年基金项目（15YJC630064）；广东省自然科学基金项目（2016A030313712） |
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| Study of supervision of catastrophic disease insurance under the model of governmental service purchase in China |
| LI Ya-qing |
| Guangdong University of Finance & Economics, Guangzhou Guangdong 510320, China |
| Abstract:The practice of catastrophic disease insurance in China is an important attempt to decentralize administration and build a service-oriented government. Under the developing model of governmental service purchase, an efficient supervision is the key part of ensuring and upgrading the effectiveness of catastrophic disease insurance system. Starting from theoretical analysis on the "service outsourcing" of the operating mechanism and its features, this paper discusses the legal attributes and supervision responsibilities of catastrophic disease insurance in China, and then explores the main problems of the current regulation system in view of regulatory responsibilities, supervisory subjects, as well as supervision contents, methods and means, etc. For these problems, it's urgent to re-draw a definite boundary of government responsibilities for the system, determine the supervisory subject as human resources and social security departments, and develop unified standards at provincial level for the bidding process. It's also necessary to establish a scientific performance evaluation system, promote multi-sector joint supervision among different government sectors involved, practice information sharing and means of digital regulation, in order to achieve efficient supervision of catastrophic disease insurance in China. |
| Key words:Catastrophic disease insurance Governmental service purchase Supervision |
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