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东西方医疗保障制度文化比较与全球化展望
引用本文:夏宗明,李筱蕾.东西方医疗保障制度文化比较与全球化展望[J].中国卫生经济,2000(5):59-61.
作者姓名:夏宗明  李筱蕾
作者单位:Xia Zongming(Jiangsu Institute of Medical Information Research, Nanjing, 210000, P. R. China)  Li Xiaolei(Jiangsu Institute of Medical Information Research, Nanjing, 210000, P. R. China)
摘    要:本文分析了东西方价值取向、思维方式、行为准则和消费观念等文化差异,及东西方医疗保障制度文化背景、性质、心理和效果差异,探索了新加坡家庭住院储蓄账户制度文化和德国医疗保险制度文化的真谛,对中国城镇所有劳动者"社会统筹与个人账户相结合"基本医疗保险制度作了文化寻根.展望21世纪,工业化国家人口数量下降,人口结构严重老化,社会赡养系数持续上升,代表基督教文化的"德国模式"未来将面临保险经济危机.而代表儒家文化的"新加坡模式"将成为发展中国家与工业化国家医疗保障制度改革的楷模,最终成为医疗保障制度全球化的基本模式.

关 键 词:东方  西方  医疗保障  制度文化

The Comparison Orient and Westem Culture and Health Msurance System Future Prospect for Its Globoliaxtion
Xia Zongming,Li Xiaolei.The Comparison Orient and Westem Culture and Health Msurance System Future Prospect for Its Globoliaxtion[J].Chinese Health Economics,2000(5):59-61.
Authors:Xia Zongming  Li Xiaolei
Abstract:The cultural differences in the measure of value, mode ofthinking, code of conduct and consume concept, etc. In the orient and western countries were analyzed. The differences in the cultural back ground, nature, psychology and social effects of the health insurance system in the orient and western countries and the true meaning of the culture of Medisave Scheme in Singapore and the culture of health insurance system in Germany were investigated. Finally, the authors traced the basic health insurance system the combination of the social funding pool and with individual account' in China all labors of city and the town to its origin. Looking forward to the twenty - first century, the growth rate of the population inthe developed countries will decrease and the population structure will be aged seriously. The social support coefficient will rise. The mode of the health insurance system in Germant - a compulsory social insurance mechanism, as a representative of westerm culture would face a crisis of insurance e-conomies. Singapore mode of the health insurance system, a representative of orient.culture will become a model ofreformed health insurance system in the developing and industrialized countries. Finally it may be the basic mode of the culture of health insurance system in the word.
Keywords:orient  western  health insurance  system culture
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