我国公共支出归宿研究:以医疗保险补贴为例

A Study on China's Public Expenditure Incidence:Taking Medical Insurance Subsidy for Example

我国医疗服务和产品市场的开放,医疗机构数量的增加,带动了医疗供给弹性变大以及国家对居民医疗消费的报销方式的改变。在财政补贴居民参加医疗保险时影响公共支出归宿的因素有多种。应通过提高医疗服务的供给价格弹性、降低居民对医疗服务的需求价格弹性等途径,使居民成为参加医疗保险补贴归宿的最大受益者。由此,国家通过建立新型农村合作医疗制度和城镇居民基本医疗保险,降低居民医疗支出负担的政策目标才能最终得到实现。

The opening of China＇s medical services and product market and the increase in the number of medical institutions make medical supplies more elastic, It then follows that the way in which residents are medically reimbursed changes. There are numerous factors that contribute to public expenditure incidence when subsidies are employed to encourage and help residents to obtain medical insurance. Efforts should be made to ensure that residents who obtain such insurance are the chief beneficiaries from this practice by enhancing price elasticity of medical service supply and lowering the price elasticity of residents＇ demand for medical services. Accordingly, the goal of the national policy that residents＇ medical expenditure burden is relieved can be achieved by developing a new rural cooperative medical system and providing basic medical insurance for urban residents.