本文選題：居民大病保險 + 政府購買服務(wù)��； 參考：《湖湘論壇》2015年02期

【摘要】：政府購買城鄉(xiāng)居民大病保險服務(wù),是市場參與醫(yī)療保障的重要探索,是我國全面推進深化改革,正確處理市場與政府在公共管理領(lǐng)域關(guān)系、創(chuàng)新政府管理方式的積極嘗試。這一嘗試進行了社會保險供給實現(xiàn)途徑的創(chuàng)新;進行了擴大社會保險效應(yīng)的思路創(chuàng)新;進行了政府管理與市場主體合作方式的創(chuàng)新;進行了遵循基本制度原則與適度拓展制度效應(yīng)的創(chuàng)新。這些創(chuàng)新有利于降低公共財政負擔、提高醫(yī)療保險運行效率、提升醫(yī)療保險和醫(yī)療服務(wù)質(zhì)量的實踐意義。這一嘗試還有其更深遠的制度意義,提高醫(yī)療保險運行監(jiān)督管理水平;解決醫(yī)療保險異地結(jié)算的局限與困惑;是政府在更大范圍購買經(jīng)辦服務(wù)的有益嘗試。
[Abstract]:The government purchase of urban and rural residents' big disease insurance service is an important exploration of the market participation in medical security. It is an active attempt to deepen the reform, correctly deal with the relationship between the market and the government in the field of public management and to innovate the way of government management. This attempt has carried out the innovation of the way to realize the supply of insurance for social insurance and expanded the society. The innovation of the thought of the insurance effect; the innovation of the mode of cooperation between the government management and the main body of the market; the innovation that follows the basic system principles and the appropriate expansion of the institutional effect. These innovations are beneficial to reducing the burden of public finance, improving the efficiency of medical insurance operation, and improving the practical significance of medical insurance and medical service quality. It also has more profound institutional significance to improve the supervision and management level of medical insurance operation, to solve the limitations and puzzles of medical insurance settlement in other places; it is a useful attempt by the government to buy the services in a wider range.
【作者單位】： 中共湖南省委黨校 湖南行政學院;
【分類號】：D630

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