合作医疗与健康保险的比较——兼论农村医疗保健制度改革的基本策略

Comparisons between Cooperative Medical Service and Health Insurance Rural Health Service System And on the Basic Tactics of the Reform of Rural Health Service System

作者周寿祺对合作医疗与健康保险作了十二个方面的比较。其中关于性质的比较认为合作医疗是筹集基金,分担风险;健康保险是筹集基金或资金承担风险,二者在本质上没有原则区别。只是在名称、项目、对象、结算方式、管理体制等方面有所差别。作者比较之后提出如下三条策略:一、合作医疗可吸取健康保险的有效经验;二、合作医疗已经“解体”的地区要区别对待;三、可将农村的公费医疗、劳保医疗转向健康合作保险的轨道。

From twelve angles, the author Zhou shouqi makes compari(?)ors between cooperative medical service(CMS)and health insurance (HI) . The two have one difference or another in terms of name, items, users, way of settling accounts, management system and so on. But in nature there is no difference. of principle between. the two. The chcracter of CMS is to raise funds and share risks. The author presents the following tactical ideas, (1) The areas where CMS is stable may incorporate useful experiences of HI. (2) The areas where CMS has disintegrated should be dealt with on their concrete conditiors. (3) The rural medical service at public expense and medical health care may be brought into the orbit of cooperative health insurance.