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CommonID:DIR_15733728,ID:13068166,SiteID:14,Type:chapter,Code:null,ParentId:0,InnerCode:171457,name:导论 风险社会下农村合作医疗制度,ShortName:,SubName:,EnTitle:Introduction The Rural Cooperative Medical Insurance System During Risk Society,EnShortTitle:,EnSubTitle:,Level:0,BookId:5733720,AbstractCH:

中国是一个农村人口占绝对主导地位的人口大国，农民问题始终成为历代社会管理者重点关注的问题，原因就在于中国农民除了自身保障以外很难有社会保障。新中国成立以后，中国一直实行着以城镇职工为主体、以牺牲农民医疗保障为代价的二元医疗保障制度。目前看来，现行的二元医疗保障制度已经日益成为中国进一步深化改革的巨大阻力。因此，建构城乡统筹的农村医疗保障制度是一项刻不容缓的事业。

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CommonID:DIR_15733731,ID:5733731,SiteID:14,Type:chapter,Code:null,ParentId:0,InnerCode:171458,name:第一章 经济社会转型与社会风险,ShortName:,SubName:,EnTitle:Chapter 1 Economical Social Transition and the Social Risks,EnShortTitle:,EnSubTitle:,Level:0,BookId:5733720,AbstractCH:

学术界一般都认为，近代以来经济社会转型产生了两种后果：一是经济社会转型产生了现代性和现代社会，进而产生了现代社会生活方式以及思维方式。二是经济社会转型导致了全球化，从而把不同地域、不同的民族国家纳入到同一个平台上展开合作与竞争，使得全球化背景下的冲突与整合问题越来越突出。笔者认为，由于经济社会转型而产生的“现代性”和“全球化”问题，其实也表明人类社会将面临越来越多的生存风险因素。近代社会以来的社会转型和社会风险是相互影响和相互促进的。

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本文把中国农民作为一个整体来分析社会转型时期他们的生存风险。我们分析中国农民生存风险因素，就是要探讨转型时期由于制度设计或者制度缺失等方面的因素对农民产生的生存风险，特别是健康生存风险。从这个角度看，主要包括两点，一是制度创新给农民带来的生存风险，二是制度缺失导致农民产生的生存风险。

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CommonID:DIR_15733788,ID:13068168,SiteID:14,Type:chapter,Code:null,ParentId:0,InnerCode:171460,name:第三章 中国农村合作医疗制度变迁,ShortName:,SubName:,EnTitle:Chapter 3 Transition of Cooperative Medical Insurance System in Countryside,EnShortTitle:,EnSubTitle:,Level:0,BookId:5733720,AbstractCH:

改革开放以来，随着经济社会结构的急剧变迁，原来的农村合作医疗制度遇到了前所未有的困境，很多地方都难以为继，这就促使我们必须要在了解中国农村合作医疗制度发展历程基础上进行反思、超越和构建，以便帮助农民解决疾病风险，防止他们因病致贫和返贫。

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CommonID:DIR_15733825,ID:5733825,SiteID:14,Type:chapter,Code:null,ParentId:0,InnerCode:171461,name:第四章 国外乡村医疗保障制度建设,ShortName:,SubName:,EnTitle:Chapter 4 The Medical System Construction in Foreign Countries’ Village,EnShortTitle:,EnSubTitle:,Level:0,BookId:5733720,AbstractCH:

本文探讨了国外几个比较有代表性的国家：以英国，德国，美国，新加坡为代表的发达国家的医疗保障，以及以巴西为代表的中等收入国家的医疗保障和以津巴布韦，古巴为代表的较低收入国家的医疗保障，尤其包括乡村医疗保障制度实施情况、存在问题以及改革思路，旨在从这些国家乡村医疗保障制度的改革实践中吸取经验，总结出对中国农村合作医疗制度建设有益的结论。

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本文总体上分析了20世纪90年代以来全国各地农村合作医疗制度主要模式、特征及其优劣，为进一步探讨中国农村合作医疗制度提供了初步的经验。此外，笔者选取中国农村经济比较发达的苏南地区为研究样本，试图通过对这些地区的调查研究，探索中国农村合作医疗制度的建构。

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本文重点探讨经济发达地区农村合作医疗制度重建问题，以便给其他欠发达以及不发达农村地区提供方向和指南。按照这个思路，本文选择厦门农村地区作为样本，分析这些地区农村合作医疗制度实施过程以及取得的经验，同时结合其他试点地区的实际情况，提出建构农村合作医疗建议。

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本文介绍了新型农村合作医疗制度，提出了必须从整体上反思现有的合作医疗制度，根据农村实际情况以及农民实际需求来建设中国农村合作医疗制度的建议，并归纳出整合城乡二元对立医疗保障制度、实行城乡统筹的社会医疗保险制度是经济发达地区农村合作医疗制度发展趋势。

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