河南省黄川县新型农村合作医疗制度实施效果研究

发布时间：2018-01-30 08:11

本文关键词： 新农合实施效果参保意愿报销比例　出处：《武汉轻工大学》2014年硕士论文　论文类型：学位论文

【摘要】：建立新型农村合作医疗制度，，是从我国基本国情出发，解决农民看病难问题的一项重大举措，对于提高农民健康水平、缓解农民因病致贫、因病返贫、统筹城乡发展、实现全面建设小康社会目标具有重要作用。截止2013年末，2489个县（市、区）实施了新型农村合作医疗制度，新型农村合作医疗参合率99.0%；1-9月新型农村合作医疗基金支出总额为2067亿元。政府介入是新农合区别于老农合的根本之处，体现了公平的原则。同时，新农合作为改变农民购买医疗服务的手段，本身并不违背效率原则，制度的良好运行也将使得公平与效率能够得到更好的兼顾。经过多年运行，新农合制度不断完善，取得了非常好的保障效果，但是由于制度设计的缺陷以及医疗卫生体制本身的复杂性，使得新农合运行过程中仍然存在着较为突出的问题。为此，本文基于河南省潢川县的实证调查，将对新型农村合作医疗制度的实施效果进行评估，并提出相应的改进意见。首先，梳理国内外相关文献，重点研究归纳国外医疗保障相关理论及评价框架，找出其优势所在。其次，将国外先进的理论和评价体系与我国其他地区新农合的探索实际进行分析，尝试建立一套评价我国新型农村合作医疗制度的框架和方法。第三，根据设计的评价框架和方法，结合潢川县的调查数据，分别从新型农村合作医疗的参与情况、参与意愿，费用报销比例、报销范围，缴费意愿、缴费能力以及享受新农合待遇过程中的服务、管理现状等对潢川县新型农村合作医疗制度实施状况进行评价，并针对存在的问题提出相关建议。
[Abstract]:The establishment of a new rural cooperative medical care system is a major measure to solve the difficult problem of farmers' medical treatment from the basic conditions of our country. It can improve the health level of farmers and alleviate the poverty caused by illness and return to poverty because of illness. Planning urban and rural development to achieve the goal of building a well-off society in an all-round way plays an important role. Until end of 2013, 2489 counties (cities, districts) implemented the new rural cooperative medical system. The participation rate of the new rural cooperative medical system is 99.0; January-September new rural cooperative medical fund total expenditure of 206.7 billion yuan. Government intervention is the fundamental difference between the new rural cooperation and the old one, which embodies the principle of fairness. At the same time, the new rural cooperation does not violate the principle of efficiency in order to change the means of farmers to purchase medical services. The good operation of the system will also make fairness and efficiency better. After many years of operation, the new agricultural cooperation system has been continuously improved, and achieved a very good security effect. However, due to the defects of the system design and the complexity of the medical and health system itself, there are still some outstanding problems in the operation of NCMS. Therefore, this paper based on the empirical investigation of Huangchuan County, Henan Province, will evaluate the implementation of the new rural cooperative medical system, and put forward corresponding suggestions. First, comb the relevant literature at home and abroad. Focus on the study of foreign medical security related theories and evaluation framework to find out its advantages. Secondly, the advanced foreign theory and evaluation system and the exploration of other regions of China are analyzed. Try to establish a set of evaluation of the new rural cooperative medical system framework and methods. Third, according to the design of the evaluation framework and methods, combined with Huangchuan County survey data. Respectively from the new rural cooperative medical participation, participation willingness, expense reimbursement ratio, reimbursement scope, payment willingness, the ability to pay and enjoy the new rural cooperative treatment in the process of services. This paper evaluates the implementation of the new rural cooperative medical system in Huangchuan County and puts forward some suggestions for the existing problems.
【学位授予单位】：武汉轻工大学
【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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