中国城市医疗卫生体系的去商品化研究:以北京市贫困人口为例

Health care de-commodification for the urban poor in China:A case study in Beijing

以社会福利制度的商品化和去商品化理论为依托,在对北京市四类贫困人群25个案及其所在社区居委会相关工作人员进行深度访谈的基础上,对北京市城市医疗救助制度、"一老一小"大病医疗保险、劳动年龄内无业居民大病医疗保险以及灵活就业人员医疗保险制度的去商品化效果进行了评估,并对城市贫困人口医疗保障制度的改善提出了合理性建议。

Health care Commodification has resulted in ＂too difficult to visit the doctor and too expensive to access health care services＂,which is more serious among the urban poor.In order to alleviate their medical difficulties,a lot of health care de-commodification measures have been widely explored.Based on the welfare regime theory and in-depth individual interviews with four categories of urban poor as well as some community committee staff in Beijing.This study evaluated five newly adopted health care security measures for the urban poor in Beijing.Policy suggestions were put forward at the end.