“诱致性”效应与制度优化——基于豫北L市实施新型农村合作医疗制度的实例

Effects of Inducing Changes and System Optimization——Take It for Example to Implement the New Type of Cooperative Medicial Care System in Rural Areas in L City in the North of Henan Province

新型农村合作医疗制度自2003年试点以来,农村参合人数稳步增长,参合率不断提高。豫北L市在推进新农合过程中取得了可喜的成绩,呈现出先抑后扬的发展态势。认真分析其变化的特点、原因不难发现,新农合制度作为一项惠农政策,本身具有诱致性特征,其落实成效与制度环境、制度运行、制度对象的实际情况有着极为密切的关系。在新农合广受欢迎的现阶段,制度自身存在的一些深层次问题还有待进一步解决,应推动该制度不断优化和完善。

Since the new type of cooperative medical care system in rural areas was piloted in 2003,the number of residents who enjoy this kind of medical care has steadily increased.L City in the north of Henan Province has made gratifying achievements in this undertaking.Analysis of the features of the inducing changes shows that,as a policy beneficial to farmers,the new cooperative medical care system in rural areas has inducing features,and the effects of the system are closely involved withe the inducing environment,operation of the system and the actual situation of the targets of the system.In view of the fact that the system has deep-seated problems to solve,it is necessary to optimize and improve the system.