Research On Medical Assistance For Health Expenditure Poverty From The Perspective Of Collaborative Governance

The problem of poverty is a common problem faced by all mankind,it has always hindering the social and economic development of all countries in the world and the progress of overall human civilization.Since the founding of the People’s Republic of China,a series of policies have been adopted to solve the problem of poverty,but for a long time China has paid more attention to the problem of income-type poverty.Since 2007,China has gradually paid attention to the relative expenditure poverty which is mainly caused by health problems.In order to prevent poverty caused by illness and improve the economic accessibility of medical and health services,the General Office of the State Council released "Opinions on Further Improving the Medical Assistance System and Carrying Out Comprehensive Medical Assistance for Serious Diseases".In April 2015,it suggested that medical assistance should be provided to the people who fall into poverty because of illness,and that the participation of social forces should be enhanced.The research is based on the theory of collaborative governance and takes health expenditure-oriented poor medical assistance as the research object.The research is divided into four parts.Firstly,through the literature reading,the connotation of health expenditure-oriented poor medical assistance and the theory of collaborative governance are expounded,and the theoretical analysis framework is constructed to lay a theoretical foundation for the following research.Secondly,combining with the theoretical framework and field research data,the case study of Haining’s health expenditure-oriented poor medical assistance is carried out.The research is carried out from five aspects: environment,motivation,subject,process and goal of cooperative governance.The environmental level is focused on three aspects: social and economic conditions,philanthropic cultural environment and institutional environment.The focus of motivation lies in the interest drivers of each subject and exertion of government catalytic leadership.At the main level,it mainly analyzes the government,charities and other social forces.At the process level,this paper analyzes the process of collaborative governance of health expenditure-oriented poor medical assistance in Haining from two aspects:information disclosure promotes information sharing and external supervision to establish a good supervision mechanism.At the level of target,we find that the multi-subject financing in Haining guarantees a high level of aid,and the public has a high awareness rate and satisfaction about the policy.Thirdly,the paper introduces the experience and enlightenment of the cooperative management of China’s health expenditure-oriented poor medical assistance in Haining.It includes that the incorporation of charity aid into the system can improve the aid efficiency,the improvement of cultural environment is the fundamental measure to promote the coordination and co-governance of all subjects,the government needs to play a leading role in the medical aid for the poor with health expenditure,and the play of the advantages of all subjects is the key to the relief effect.Finally,based on the theoretical framework of cooperative governance and the experience of Haining,this paper probes into the policy suggestions of improving the China’s health expenditure-oriented poor medical assistance from several aspects:giving full play to the advantages of each subject,improving the cooperative environment(establishing the security system of each subject’s power and responsibility,cultivating the spirit of citizen to improve the ability of social organization),enhancing the synergy motivation(clarifying the interests of each subject to coordinate the interests of all parties and strengthen the government’s sense of coordination to promote the government’s catalytic leadership),perfecting the synergy process(breaking the information monopoly to realize information sharing,establishing the supervision mechanism to link up with the reward and punishment system).