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101.
利益主体视角下的西部新农合制度运行困境分析 总被引:1,自引:0,他引:1
孟宏斌 《中国人口.资源与环境》2011,21(8)
实现新农合制度设计的初衷目标、提升制度的惠农政策效果,是亟待解决的重大现实问题.为探寻制度实施效果与设计预期目标的偏差,科学厘清出影响西部新农合惠农政策效果的主要因素,本文基于西部10省区17县(区)的780份农户调研数据及相关统计数据,从医(医疗服务机构)、患(参合农民)、保(医疗保障机构)、管(政府)四方利益主体的视角,对西部新农合制度运行中的困境进行剖析.研究结果表明,既有的新农合制度运行框架模式,会陷入医疗服务机构行为扭曲与服务供给可及性差并存、医疗保障机构经办能力不足与保障效果欠佳并存、政府市场化导向与公共服务职能缺失并存、农民参合意愿强烈与被动参合并存的运行困境.三方强势主导形成的主体间利益失衡,必然影响到新农合的持续运行发展.因此,在新农合制度由试点普及向规范持续运行转轨的关键时期,必须以激励约束机制为突破,构建利益相关主体的协同联动改革机制,有效调动运行主体的积极性,实现新农合制度的持续运行. 相似文献
102.
海洋经济已跨入以高新技术引领的新时代,以海洋高新技术为首要特征的战略性海洋新兴产业成为各国争相抢占的科技制高点.本文在界定战略性海洋新兴产业内涵的基础上,分析我国战略性海洋新兴产业发展的现状,找出其在公众认识、政策体系、自主创新能力、资金投入以及人才储备等方面存在的主要问题,进而提出通过提高公众对战略性海洋新兴产业发展重要性的认识,营造促进其发展的良好氛围;建立和完善战略性海洋新兴产业发展的政策体系和协调机制,形成支持战略性海洋新兴产业发展的长效机制;提高海洋科技的自主创新能力,加速科技成果的转化,打造一批具有国际竞争力的战略性海洋新兴产业开发区;加大对战略性海洋新兴产业的资金投入,建立多渠道的有效的投融资体制以及着力培养和引进具备较强适应能力、创新能力和竞争力的高层次人才,使其成为发展战略性海洋新兴产业的生力军等措施促进我国战略性海洋新兴产业的发展,借以推动我国海洋经济实现跨越式发展. 相似文献
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本文分析总结了环保新常态下面临的环保新形势,对环境管理转型提出的新要求,认为在环境管理模式由污染控制导向向质量改善导向转变,环境管理思路由注重行政许可、事前审批、指标分配向注重事中事后监管、市场自治、社会共治转变的背景下,现有环境管理制度体系整体与政策手段个体的覆盖主体、切入界面、作用机制、内在逻辑等基础理论问题需要再审视,制度架构顶层设计和分工体系需要再完善。在此背景和趋势下,本文从理论和实践两个层面深入探析了名录工具和产品主体在环境管理中的特性与作用,认为产品是市场经济条件下同时承载功能流、价值流和资源环境流的流通载体,也是制定差别化环境监管政策与市场监管政策、建立跨主体环境成本合理分担机制的最恰当主体,以此为基础,清晰界定了环境管理系统化、科学化、法制化、精细化、信息化转型要求下环保综合名录的本质特征、基本定位和潜力方向,并提出了综合名录工作下一阶段的重点任务。 相似文献
107.
The northern, resource-dependent regions of Canada have long faced distinctive social, economic, and environmental challenges and vulnerabilities. However, these regions and communities increasingly find themselves in a transitional and post-productivist context – the implications of which are largely unclear. Therefore, research is needed to identify the current and emerging challenges facing such regions and how environmental governance and planning must adjust to meet these challenges. We utilise the case study of the Northeast Superior region of Ontario to identify and analyse the dynamics developing in post-productivist, resource-dependent regions and what the implications may be for environmental governance. Several key themes and issues that emerged include an increasingly pluralistic context, new regionalism and north–south tensions, First Nation initiatives and power imbalances, and northern identities which are tied to ideas of historical resource-dependence, remoteness, and intimate and complex links to the landscape, all of which inform environmental governance and sustainability debates. As a result, the Northeast Superior case provides insight into these ongoing dynamics which encompass individuals, government, industry, organisations, and the landscape, with the resultant lessons being transferable to initiatives in other northern, remote, and circumpolar regions. 相似文献
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109.
André Torre 《Journal of Environmental Planning and Management》2009,52(1):1-24
The use of the theoretical tools provided by proximity economics to address environmental questions, and the emergence of analyses revitalising the role of the spatial dimension in environmental problems, date from the late 1990s. This paper first aims to provide a review of the research conducted in this field and second to suggest some future research directions concerning the respective roles of geographical proximity and organised proximity in the production and management of environmental problems. First, it deals with the topic of ‘geographical proximity and land-use conflicts’, a topic that is currently the most researched in this field. This is followed by a discussion of the role of organised proximity in the regulation of environmental problems. The paper then explores the relation between the uncertainty associated with environmental issues and relations of organised proximity. Next it outlines a few possible research directions, focusing more particularly on the roles of geographical proximity as a mode of regulation of environmental problems, and on the possible role of organised proximity in their production. The concluding section draws an overview of the departures and extensions that have resulted from taking into account environmental issues in the paradigm of proximity economics. 相似文献
110.
Jessica Nihlén Fahlquist 《Journal of Agricultural and Environmental Ethics》2009,22(2):109-124
The actions performed by individuals, as consumers and citizens, have aggregate negative consequences for the environment.
The question asked in this paper is to what extent it is reasonable to hold individuals and institutions responsible for environmental
problems. A distinction is made between backward-looking and forward-looking responsibility. Previously, individuals were
not seen as being responsible for environmental problems, but an idea that is now sometimes implicitly or explicitly embraced
in the public debate on environmental problems is that individuals are appropriate targets for blame when they perform actions
that are harmful to the environment. This idea is criticized in this paper. It is argued that instead of blaming individuals
for performing actions that are not environmentally friendly we should ascribe forward-looking responsibility to individuals,
a notion that focuses more on capacity and resources than causation and blameworthiness. Furthermore, it is important to emphasize
that a great share of forward-looking responsibility should also be ascribed to institutional agents, primarily governments
and corporations. The urge to ascribe forward-looking responsibility to institutional agents is motivated by the efficiency
aim of responsibility distributions. Simply put, if responsibility is ascribed to governments and corporations there is a
better chance of creating a society in which the opportunities to act in an environmentally friendly way increase. 相似文献