浙江省青田县新型农村合作医疗政策研究

发布时间：2019-01-05 00:48

【摘要】：新型农村合作医疗是由政府组织、引导、支持，村民自愿参与，个人、集体和政府多方筹资，以大病统筹为主的农民医疗互助共济制度[1]，是适合我国国情的农民健康保健制度的一种有效形式，是新农村建设及医疗体制改革的重要组成部分。在我国的历史上曾经是构成我国农村社会保障体系的不可或缺的部分。从2003年1月《关于建立新型农村合作医疗保障制度》诞生至今，它的建立在一定程度上改变了长期以来农民“小病拖、大病扛”的落后医疗健康理念，使农民“看病难”、“看病贵”等一系列医疗问题得到改善，，赢得了广大农民的支持和认可。当前新时期下，新情况和新问题不断涌现，政策发展变得严峻。如何健全和完善新型农村合作医疗制度是摆在我们面前的十分重要且亟待解决的课题。本文运用公共管理理论知识，采取多种相关研究方法，以青田县新型农村合作医疗政策为例，通过描述青田县新型农村合作医疗政策的发展历程、实施成效及政策特点，提出了当前青田县新型农村合作医疗现行政策中存在的几个关键性的问题，进行透彻的分析。问题主要包括筹资结构不合理，渠道单一；医疗费用补偿设计不合理及新型农村合作医疗管理体制与监管机制缺乏等三方面。之后，从认识、立法、财政、管理和体制四个角度分析其存在问题的原因。最后针对目前青田县新型农村合作医疗政策三个关键性的问题逐一提出解决对策。为青田县新型农村合作医疗政策下一阶段的发展提供理论参考；为统筹城乡社会经济发展和医疗卫生事业的持续稳步前进提供参考依据；为进一步缓解农民“看病难”、“看病贵”、“因病致贫”、“因病返贫”的问题发挥巨大的作用。
[Abstract]:The new rural cooperative medical care system is a system of mutual aid and mutual aid of peasants' medical care, which is organized, guided, supported, voluntarily participated by the villagers, financed by individuals, collectives and governments, and mainly coordinated with serious illness [1]. It is an effective form of farmer health care system suitable for China's national conditions and an important part of the construction of new countryside and the reform of medical system. In the history of our country, it was an indispensable part of the rural social security system. Since the birth of the New Rural Cooperative Medical Insurance system in January 2003, the establishment of the system has to some extent changed the backward medical and health concept of farmers, which has long been carrying "minor illness and serious illness", making it difficult for farmers to see a doctor. A series of medical problems, such as "expensive to see a doctor", have been improved and won the support and recognition of the majority of farmers. Under the present new period, the new situation and the new question unceasingly emerge, the policy development becomes austere. How to perfect and perfect the new rural cooperative medical system is a very important and urgent task in front of us. This paper applies the theory of public management, adopts a variety of relevant research methods, taking the new rural cooperative medical policy in Qingtian County as an example, through describing the development course, implementation effect and policy characteristics of the new rural cooperative medical care policy in Qingtian County. This paper puts forward several key problems existing in the current policy of the new rural cooperative medical system in Qingtian County and makes a thorough analysis. The main problems include unreasonable financing structure, single channel, unreasonable design of medical expenses compensation and lack of management system and supervision mechanism of new rural cooperative medical system. After that, the causes of the problems are analyzed from the aspects of cognition, legislation, finance, management and system. Finally, three key problems of the new rural cooperative medical policy in Qingtian county are put forward one by one. To provide theoretical reference for the development of the new rural cooperative medical policy in Qingtian County, and to provide the reference basis for coordinating the social and economic development of urban and rural areas and the sustainable and steady progress of medical and health services. In order to further alleviate the farmers "difficult to see a doctor", "expensive to see a doctor", "poor because of illness", "return to poverty due to illness" play a great role.
【学位授予单位】：电子科技大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：F323.89;R197.1

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