阳新县新型农村合作医疗存在的问题及对策研究

发布时间：2017-12-31 16:28

本文关键词：阳新县新型农村合作医疗存在的问题及对策研究　出处：《长江大学》2016年硕士论文　论文类型：学位论文

【摘要】：新型农村合作医疗又被称之为“新农合”。是由政府出面组织,并提供相关支持政策,鼓励农民根据自身意愿参加,政府主导资金,再加上集体和个人等多方面筹集资金,着力与解决严重疾病的医疗互助制度体系。可以说,“新农合”制度根本改变了中国绝大多数农民的医疗条件,使他们更好的享受到各项医疗服务,建立新型农村合作医疗制度能够加速城镇化进程,大大改善农民的生活条件,有效解决城乡矛盾,保持社会的公平性,使社会更加和谐稳定。基于以上本文选择了研究阳新县新型农村合作医疗,通过收集并分析关于阳新县新农合的相关资料,结合建国后国家在农村医疗事业发展的历程。运用各种社会调查方法对阳新县的实际情况进行调研并且汇总相关材料,汇总研究了现阶段阳新县新农合在实际运行中取得的效果,在运行中如何进行管理、如何进行监督等多个方面,结合实际运行找出一些相对薄弱的环节,拿出相应的对策使得新农合制度更加完善。本文通过对阳新县新农合实际运行的调查分析,基本得到以下几个结论。首先到乡镇基层对相关参保农户进行面对面交流访谈、问卷调查等手段,对阳新县新农合的具体实施过程,新型农村合作医疗在实际运行中取得的效果进行了比较全面的总结。通过总结我们发现大部分农户并不是十分愿意参保,对新型农村合作医疗具体运行机制不是特别了解,不是特别相信当地乡镇卫生院这类基层医疗服务单位的医疗技术,还有很大一部分人不认可新型农村合作医疗的补助标准,觉得补助标准太低。以上这些问题都反映出政府和有关部门对新农合宣传工作不够重视,所以必须下大力气宣传,彻底扭转部分农民对新农合制度的不认同态度。另外通过对阳新县新农合制度的管理模式、监督运行机制、实际运行效果等多个方面的分析,总结阳新县新农合在实际运行中存在的筹资机制不健康、乡镇基层医疗机构的技术水平和硬件设施上比较差、服务意识和水平不高、有关监管法律法规不够完善等问题。最后通过对阳新县新型农村合作医疗如何长久有效的筹集资金、如何管理、如何监督等的方面进行分析,提出建立稳定长久的筹资机制、尽快完善新农合的政策法规的建设、建成相对可靠的农村基层医疗体系,加大基础医疗硬件设施的投入力度,更加全面深入的普及新型农村合作医疗等建议。论文主体框架如下：第一章,绪论。介绍了选题的背景目的、现实及理论意义,研究国内外相关文献综述。第二章,新农合制度的理论分析。介绍研究所涉及到的相关理论。第三章,我国农村合作医疗制度的历史与现状。通过对众多文献材料的分析,总结新中国成立后我国农村医疗保障的发展。第四章,阳新县新农合实施现状。通过对阳新县经济水平现状、筹措资金以及如何补偿、卫生医疗资源现状的考察,了解阳新县新型农村合作医疗具体的实施情况。第五章,阳新县新农合制度存在的问题及原因。详细了解阳新县新型农村合作医疗的实际运行情况,并细致分析了其运行过程中出现的管理问题、筹资问题、运行问题以及相关制度问题。第六章,完善阳新县新农合制度的对策。研究新农合在实际运行中存在的问题以及这些问题产生的根源,并提出了进一步完善阳新县新型农村合作医疗的对策和建议,如何管理、如何筹资以及如何完善各项政策制度方面。第七章,总结与展望。总结了全文,对不足的地方进行了阐述,并针对不足之处展望了以后进一步研究的方向。
[Abstract]:The new rural cooperative medical care is also known as the "new". It is by the government organization, and provide relevant support policies, encourage farmers to participate according to their own wishes, the government funds, coupled with the collective and individual aspects of raising funds, and to solve the serious disease medical assistance system. It can be said that the "new rural cooperative medical system" fundamentally change the system most Chinese farmers' medical conditions, so that they can better enjoy the medical service, the establishment of new rural cooperative medical care system can accelerate the process of urbanization, improve farmers' living conditions, effectively solve the contradiction between urban and rural areas, maintain social fairness, make the society more harmonious and stable. This paper chooses the above study on new rural cooperative medical system in Yangxin County Based on the collection and analysis of relevant information on the Yangxin county new rural cooperative medical system, combined with after the founding of the country in rural medical career The exhibition process. Using a variety of methods of social investigation on the actual situation of Yangxin county to conduct research and summary of relevant materials, summary of research the present Yangxin NCMS the effect in practical operation, how to manage in operation, how many aspects of supervision, combined with the actual operation to find out some weak points out the corresponding countermeasures to make the new rural cooperative medical system more perfect. Through investigation and analysis of actual operation of Yang Xinxian County new rural cooperative medical system, and get the following conclusions. Firstly, the basic to rural grassroots face-to-face interviews related to the insured farmers, surveys and other means, the specific implementation process of Yang Xinxian County new rural cooperative medical system, new rural cooperative medical system in actual operation the effect of a more comprehensive summary. Through the summary we found that most of the farmers are not very willing to participate, to new agricultural The village cooperative medical operation mechanism is not particularly understand, not believe the local township hospitals this kind of basic medical service units of medical technology, there is a great number of people do not recognize the new rural cooperative medical care subsidies, subsidies that are too low. These problems are reflected in the government and the relevant departments of the new rural cooperative medical propaganda work not enough attention so, we must make great efforts to publicize, completely reversing the part of farmers to new rural cooperative medical system is not identity attitude. In addition to the Yang Xinxian County NCMS management mode, supervision mechanism, analysis of various aspects of the actual operation effect, summarizes the financing mechanism in the actual operation of the existing Yangxin county new rural cooperative medical system is not healthy, grassroots medical institutions the township level of technology and hardware facilities are relatively poor, service consciousness and level is not high, the problem of relevant regulatory laws and regulations are not perfect, the most. Through to the management of funds, raise the new rural cooperative medical Yang Xinxian County how long effective, how to supervision and other aspects of the analysis, put forward to establish long-term stable financing mechanism, the construction of new policies and regulations as soon as possible to improve the completion of rural basic level health care system is relatively reliable, increase the basic medical facilities investment, more comprehensive popularization of the new rural cooperative medical advice. The main framework of the thesis are as follows: the first chapter is introduction. Introduces the background, theoretical and realistic significance, the related research at home and abroad. The second chapter is literature review, analysis of the new rural cooperative medical system theory. Introduce relevant theoretical research involved. In the third chapter, the history and the the status quo of China's rural cooperative medical system. Through the analysis of many documents, summarizes the development of new Chinese after the founding of China's rural medical security. In the fourth chapter, Yang The status of implementation of NCMS in Xinxian County. Through analyzing the present situation of Xinxian County Yang economic level, raise funds and how to compensate, investigating the current situation of medical health resources, Yangxin County of new rural cooperative medical system implementation. The fifth chapter, Yangxin County of the new rural cooperative medical system problems and causes. A detailed understanding of the actual operation of the new rural cooperative medical Yang Xinxian County, and a detailed analysis of the management problems, the operation process of financing, operation and related system problems. In the sixth chapter, countermeasures to improve the new rural cooperative medical system in Yangxin county. The causes existing in the operation of new rural cooperative medical system problems and these problems, and put forward to further improve the new rural cooperative medical system in Yangxin county the countermeasures and suggestions, how to manage the financing and how to perfect the policies. The seventh chapter, conclusion and prospect. Summarize the full text of The insufficient places are expounded, and the future direction of further research is prospected in view of the shortcomings.

【学位授予单位】：长江大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R197.1;F323.89;F842.684

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