农村医疗保障财政责任的制度变迁

System Change of Government's Financial Responsibility in Rural Residents' Health Security

从制度变迁视角,以实施农村家庭承包责任制改革、推出新型农村合作医疗制度为分界点,将新中国成立以来农村医疗保障的发展历程划分为前农村改革阶段、农村改革阶段和后农村改革阶段,研究不同历史阶段政府在农村医疗保障事业中所承担的财政责任,并指出政府在农村医疗保障中承担财政责任的轨迹是:从间接支持到回避责任,再到直接承担责任。

This essay studies the system change of government＇s financial responsibility in rural residents ＇ health security. The research on the phylogeny of rural residents＂ health security follows the sequence of the pre - reform phase, the reform phase and the after - reform phase, and analyzes the financial responsibility of government in different phases. The dividing lines are the implementing of household contract management system and the new rural cooperative medical system. The conclusion is that the government takes indirect responsibility in the first phase, while shifts off responsibility in the second phase, and takes the front line responsibility in the third phase.