Qi Cao, Leiyu Shi, Hufeng Wang, Keyong Dong. 2012: “Health insurance in China: evolution, current status and challenges”, International Journal of Health Services, Vol 42(2), pp. 177-195.

The authors review the evolution of health insurance in China and analyze how it has been shaped to its current form by political and economic dynamics. They summarize the current status of health insurance in terms of population coverage, benefit design, scope of service, and its interaction with providers; address challenges regarding future health insurance reform; and propose policy recommendations. Although the recent health insurance reform has made major breakthroughs in population coverage, it is still too early to judge whether the political willingness to appease social unrest can be translated into concrete health care protections for the population.

社会医疗保险改革：沿革、现状和挑战

摘要：本文从新制度主义视角对中国社会医疗保险的历史发展进行了回顾分析，并从社会医疗保险的覆盖面，待遇设计和对供方的监管作用三个维度对社会医疗保险进行了制度评估，提出政策建议。认为目前社会医疗保险虽然在筹资水平和制度覆盖面上取得了突破性进展，但制度待遇设计的缺陷仍然在削弱其实际保障能力，同时由于供方扭曲激励机制的存在，以提高保障能力为目标的社会医疗保险改革必需与付费方式改革和供方体制改革结合进行。（International Journal of Health Services, 2012年,SSCI）