北京航空航天大学学报(社会科学版) ›› 2014, Vol. 27 ›› Issue (3): 6-12,80.DOI: 10.13766/j.bhsk.1008-2204.2013.0379

• 公共政策与治理 • 上一篇    下一篇

德国医保的特色——国家调控与市场化运行

隋学礼   

  1. 北京航空航天大学 公共管理学院, 北京 100191
  • 收稿日期:2013-09-02 出版日期:2014-05-25 发布日期:2014-05-28
  • 作者简介:隋学礼(1964—),男,山东烟台人,副教授,博士,研究方向为社会经济政策和德国社会保障.

Health Insurance System in Germany:National Regulation and Market-oriented Operation

Sui Xueli   

  1. School of Public Administration, Beijing University of Aeronautics and Astronautics, Beijing 100191, China
  • Received:2013-09-02 Online:2014-05-25 Published:2014-05-28

摘要: 以社会福利原则为基础的社会医疗保险制度是德国医疗保障制度的核心,强调国家是医疗健康服务领域的最后责任人,而不能让自由的市场力量去承担这个任务。国家调控、医疗保障资金筹集和支出的市场化运行、非营利机构和私人绩效提供者构成了具有德国特色的医疗保障制度的基本框架。尽管不同领域存在着特殊性,但医疗保障制度的基本架构在所有医疗服务领域内是普遍存在的,并在德国经济与社会发展过程中起着十分重要的支撑与保护作用。

关键词: 德国社会医疗保障制度, 国家调控, 医疗保障资金筹集和支出, 市场化运行, 社会福利原则, 医疗服务主体

Abstract: Based on the principle of social welfare,social medical insurance system is the core of the German medical security system, which stresses that the German government is the one responsible for the medical health service rather than the free market. The German health insurance system features national regulation, market-oriented operation of medical insurance fund raising and expenditure, non-profit public organizations and private performance providers. Despite the existence of specificity in different areas, the basic framework of health security system is widespread in all areas of health care services and plays a very important role in supporting and protecting the economic and social development in Germany.

Key words: social medical insurance system in Germany, national regulation, medical insurance fund raising and expenditure, market-oriented operation, social welfare principle, subject of medical service

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