黑龙江省依兰县新型农村合作医疗问题研究

发布时间：2018-01-25 12:30

本文关键词： 新型农村合作医疗筹资机制补偿方案　出处：《东北农业大学》2014年硕士论文　论文类型：学位论文

【摘要】：新型农村合作医疗制度是一项由政府组织、引导、支持,农民自愿参加,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。新型合作医疗政策自实施之日起,给农民带来了实惠,反映出了农民的意愿,在一定程度上缓解了农民“因病致贫,因病返贫”的问题,减轻了农民的医疗卫生经济负担,缓解了农民看病贵的问题,提高了农民的医疗保障水平。但是作为已经试行七年的依兰县新型农村合作医疗在解决农民医疗看病的过程中,也遇到了一些实际问题。本文首先从黑龙江省依兰县新型农村合作医疗实施的实际情况出发,对新型农村合作医疗、医疗保障、农村医疗保障等相关概念进行了理论界定,并在公共产品理论、市场失灵理论、公平与效率等理论基础之上进行深入研究,然后对黑龙江省依兰县新型农村合作医疗的发展现状进行了详细阐述,包括农民的参合率不断提高、农民的受益面扩大,筹资金额不断提高等良好的情况。其次详细分析了依兰县新型农村合作医疗发展中所出现的问题,主要表现在以下几个方面：医疗保障水平不平衡,报销手续繁琐,医疗卫生条件有待改善等问题。并且通过借鉴国内新型农村合作医疗的发展经验如江阴、嘉定等地区的发展验从而对黑龙江省依兰县的新型农村合作医疗的发展起到一些良好的导向作用。最后,针对分析存在的问题,在借鉴国内农村医疗保障制度经验基础之上,通过理论与实践相结合,提出加快新型农村合作医疗的立法工作、完善依兰县新型农村合作医疗的补偿方案、提高农村医疗服务的质量等完善新型农村合作医疗发展的解决对策,进而使得依兰县新型农村合作医疗更大程度上的解决农民“因病致贫、因病返贫”的问题。在研究方法上,论文通过采用理论分析和实证分析、系统分析等方法对黑龙江省依兰县新型农村合作医疗的发展问题进行了全面研究。从而达到对问题的研究更加透彻、提出的问题更加切实、有效。通过对黑龙江省依兰县新型农村合作医疗问题研究,能够为黑龙江省其它地区新型农村合作医疗发展提供参考,并且提供一定的指导意义和借鉴意义。
[Abstract]:The new rural cooperative medical care system is organized by the government, guided, supported, voluntary participation of farmers, individual, collective and government multi-financing. From the day of implementation, the new cooperative medical policy has brought benefits to farmers, reflected the wishes of farmers, and alleviated to a certain extent farmers'"poverty caused by illness". The problem of returning to poverty due to illness has alleviated the economic burden of farmers' medical care and health care, and alleviated the problem of farmers' expensive medical treatment. But as a new rural cooperative medical system in Yilan County for seven years, it has met some practical problems in the process of solving the medical treatment of farmers. Starting from the actual situation of the implementation of the new rural cooperative medical system in Yilan County of Heilongjiang Province, this paper theoretically defines the related concepts of the new rural cooperative medical care, medical security, rural medical security and so on. And on the basis of public product theory, market failure theory, fairness and efficiency theory, and then on the development of the new rural cooperative medical system in Yilan County, Heilongjiang Province, the development of the status quo is described in detail. Including the increasing participation rate of farmers, the expansion of the benefits of farmers, increasing the amount of financing and other good conditions. Secondly, the problems in the development of the new rural cooperative medical system in Yilan County are analyzed in detail. The main performance in the following areas: the level of medical security imbalance, complicated reimbursement procedures, medical and health conditions need to be improved, and through the development of new rural cooperative medical experience such as Jiangyin. Jiading and other regions of the development of Yilan County, Heilongjiang Province, the development of the new rural cooperative medical care plays a good guiding role. Finally, the analysis of the existing problems. Based on the experience of the rural medical security system in China and combining theory with practice, this paper puts forward to speed up the legislation of the new rural cooperative medical care and perfect the compensation scheme of the new rural cooperative medical care in Yilan County. Improve the quality of rural medical services and improve the development of the new rural cooperative medical countermeasures, so as to make the new rural cooperative medical care in Yilan County to a greater extent to solve the farmers "poor due to illness." The problem of returning to poverty as a result of illness. In terms of research methods, the thesis adopts theoretical analysis and empirical analysis. System analysis and other methods of the new rural cooperative medical system in Yilan County of Heilongjiang Province, the development of a comprehensive study, so as to achieve a more thorough study of the problem, put forward more practical problems. Through the study of the new rural cooperative medical system in Yilan County, Heilongjiang Province, it can provide a reference for the development of the new rural cooperative medical system in other areas of Heilongjiang Province, and provide some guiding and referential significance.
【学位授予单位】：东北农业大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：F842.684;F323.89;R197.1

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