无论是公共政策部门,还是理论研究界,国内对社会医疗保险的认识多偏好将其作为资金筹集及风险分担机制,强调其医疗费用风险保障的作用。然而,从比较卫生体系(Comparative Health System)的角度来看,社会医疗保险则是一种代表性的卫生体系模式,其制度设计不只包括资金筹集,还有服务提供与管制的内容。并且,更为关键的是,社会医疗保险实际上对服务提供与管制有着自己的要求与 Both the public policy department and the theoretical research community, the domestic understanding of social medical insurance more than as a financing and risk-sharing mechanism, emphasizing the role of medical costs risk protection. However, from a comparative health system perspective, social health insurance is a representative model of a health system whose systems are designed not only to raise funds but also to provide and control services. And, more crucially, social health insurance actually has its own requirements for service delivery and regulation