中国农村医疗保障制度的构建与可持续发展

医疗保障制度作为社会保障制度的一部分，在保障公民最基本的健康权利中起着重要的作用，但是由于经济、政治、社会历史等原因，我国农村医疗卫生保障制度覆盖范围窄，保障水平低，农民看病难，因病致贫返贫的现象非常普遍。从社会正义与公平、内生经济增长理论和反贫困理论入手，对农村医疗保障制度建设的必要性进行分析，进而从当前社会政策和社会实践的角度分析了其可行性，提出建立一个与经济发展水平相适应的、多层次的农村医疗保障制度。     

Sources of spatial welfare disparities in Indonesia: Household endowments or returns?

This article investigates (i) the extent to which the differences in the standard of living among districts in Indonesia are due to differences in the marginal welfare gains (returns) associated with household mobile endowments or differences in household endowments themselves; and (ii) whether the current allocation of fiscal expenditures by the central authorities is related to the main determinants of the spatial disparities in welfare among districts. Differences in the returns to household mobile characteristics are found to be the primary explanation of the welfare differences. The allocation of fiscal transfers to districts is found to be based on “needs” defined as low returns to household mobile endowments. This also suggests that the design of the fiscal transfer system is consistent with promoting the opportunities for welfare across districts as opposed to equalizing the level of welfare itself. Finally, the marginal welfare gains of most household mobile endowments are found to be higher in districts with more roads.     

我国县乡医疗市场垄断均衡与破除对策研究

中国县乡医疗体制改革改变了原有计划经济体制下医疗卫生服务供给低效率和数量短缺的局面。但是,中国县乡医疗市场正在出现新的、医政联合的垄断格局。中国县乡垄断医疗市场短期与长期均衡形成及持续是各方力量博弈的结果,垄断医疗机构从中获得巨额垄断利润,而农民却支付巨额成本。文章在模型分析结论基础上,提出了建立准入性竞争医疗体系、提升农民的组织和谈判能力、变革政府职能和完善公共卫生政策三大破除县乡医疗市场垄断均衡的对策性思考。     

农民参与新型农村合作医疗的意愿及影响因素分析——基于河北省唐山、保定、沧州三地的调查

对河北省409户农户问卷调查分析显示，虽然大多数农民已经参合，但是农民对合作医疗的知晓度、合作医疗制度的报销比例、参合点的药价水平以及农民本身的健康状况等都会影响农民的参合意愿，进而影响合作医疗制度的可持续发展。     

新型农村合作医疗与个人缴付额的操作:以广东为例

探讨新型农村合作医疗个人缴付额更合理、有效的确定方法,以进一步体现其积极、公平的实际效果。运用回归分析方法通过筛选解释变量提出了估计一个地区农民年均医疗费用的计算公式;分析了现行的新型农村合作医疗个人缴付额安排的不足,尤其是在科学性和合理性方面的不足;并依据所提出的计算公式重新构建了若干更加积极、公平的个人缴付额安排。     

佛山地区医用耗材配送中心信息系统的研究

本文分析了我国现代医用耗材配送的现状,提出了为中小型医用耗材生产企业成立配送中心的重要性.基于中小企业自身的特点,为了提高中小企业的经营效率,提升市场竞争力,本文进行了配送中心信息系统的研究.     

新时期城市困难群体医疗保障机制构建研究——基于山西省城市困难群体医保状况的调查

城市困难群体主要是指家庭人均纯收入达不到低保水平的人口.当前城市中困难群体的医疗保障问题显得越来越突出,主要表现为缺乏相应的医疗保障机制.城市困难群体医疗保障机制应当由政府层面、社区层面、企业层面、家庭层面和社会层面共五方面的医疗保障机制所构成.     

A multiple dispatch and partial backup hypercube queuing model to analyze emergency medical systems on highways

The hypercube is a spatially distributed queuing model based on Markovian analysis approximations, used to analyze the configuration and operation of server-to-customer emergency systems. In the present study we adapted the model to analyze emergency medical systems (EMS) on highways, which operate within particular dispatching policies. The study takes into consideration that: the emergency calls are of different types; the servers are distinct (e.g., rescue ambulances, medical vehicles); only certain servers in the system can service calls in a given region (partial backup); and, depending on the type of call, one or more identical or distinct servers are immediately dispatched to service such calls (multiple dispatch). We also consider that the arriving calls take place either along the highway or at the home location of a server – in which case the server does not need to travel to the call location. Finally, we analyzed the computational results of applying such an approach to the case study of an EMS operating on Brazilian highways.     

金融危机背景下医药批发企业物流管理对策研究

在金融危机背景下，我国医药批发企业面临新的挑战。如何应对挑战．已成为业界关注的焦点。采用调查法、归纳法、比较研究法、定性与定量相结合的方法，剖析医药批发企业的现状．分析其在金融危机背景下所面临的主要问题及影响因素．从物流管理的角度为医药批发企业应对挑战提供了具有可操作性的七种方法。     

我国医疗行业的价格竞争策略和价格战的分析

我国的医疗行业，从集中度上看，属于原子型的市场，面临着激烈的竞争。在定价理论的基础上，提出了医疗行业的价格竞争策略，并指出了每种策略的实施范围。最后，对医疗行业的价格战进行了分析，并预测了其发展趋势：随着我国加入WTO和医疗行业的改革的深化，医疗行业必将面临着越来越激烈的价格竞争。因此，医疗机构必须运用合适的价格竞争策略，以获得竞争力。