社会工作与管理 ›› 2013, Vol. 13 ›› Issue (2): 53-58.

• 社会工作 • 上一篇    下一篇

基于公私合作方式推进全民医保的风险与规避——以广东湛江医改模式为例

朱晓红   

  1. 东莞理工学院政法学院, 广东 东莞, 523808
  • 收稿日期:2012-09-26 出版日期:2013-03-15 发布日期:2013-03-15
  • 作者简介:朱晓红(1973),女,汉族,副教授,管理学博士;主要研究方向:公共服务与地方治理。
  • 基金资助:

     基金课题:广东省自然科学基金项目“政府购买基本医疗服务的风险及绩效管理研究”(S2011040002253)。

On the Risks and their Avoidance in Pushing Universal
Health Care through PublicPrivate Partnership
—A Case Study of the Model of Health Care
Reform in Zhanjiang, Guangdong

ZHU Xiaohong   

  1. School of Politics and Law, Dongguan University of Technology, Dongguan, Guangdong, 523808, P. R. China
  • Received:2012-09-26 Online:2013-03-15 Published:2013-03-15

摘要:  广东湛江探索商业健康保险参与基本医疗保障基金的第三方管理,这是医疗服务领域中公私合作伙伴关系(PPPs)的尝试与应用,体现了公私合作的契约治理原则、政府主导原则以及风险分担原则。但这一模式也面临着责任风险、政策软约束风险以及项目运作层面上的风险,未来以公私合作方式推进全民医保应建立风险责任分担机制、完善委托代理中的监督机制、培育有竞争力的市场。

关键词: 公私合作, 全民医保, 风险与规避

Abstract: Abstract: Zhanjiang City has introduced commercial health insurance into basic medical insurance fund as the third party management in Guangdong Province, which is an attempt to apply publicprivate partnerships (PPPs) in the medical field. The practice reflects the principles of contractual governance, government guidance and risk allocation. However, it also faces enormous liability risks and risks caused by soft policy restriction and project operation. To push universal health care with PPPs in future, greater efforts should be made to establish a risksharing mechanism, perfect the supervision mechanism in the entrusted agency, and foster a competitive market.

Key words: publicprivate partnership, suniversal health care, risk and its avoidance, Zhanjiang Model

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