浅析新型农村合作医疗制度公共产品特征

Analyzing the characteristic of new rural cooperative medical system as public product

新型农村合作医疗制度运行八年来对于缓解农村居民"看病难、看病贵"、提高参合农民健康水平发挥了重要作用,但仍然存在着筹资不足、基金风险池小等问题。文章以公共产品理论为基础分析了新农合非竞争性、非排他性、积极外部性、公平性特征,并从与医疗救助制度衔接、克服"拥挤"现象、加大财政补贴、支持基层医疗机构建设等角度提出了新农合制度进一步发展的路径选择。

After 8 years＇operation, the new rural cooperative medical system has played an important role in easing the problem of＂ the Medical Treatment Difficult and Expensive Medical Treatment＂ and improving the peasants＇health. But some problems still exist, such as insufficient financing and small fund risk pool. Based on the theory of public goods, the characteristics of new rural cooperative medical system were summarized as non-competitiveness, non-exclusiveness, positive externality and fairness. And the pathway for the new rural cooperative medical system to further develop was put forward, mainly as combining with medical assistance system, inereasing financial subsidies, and supporting the construction of grassroots medical institutions.