L县新型农村合作医疗存在的问题及对策研究

发布时间：2018-04-19 02:15

本文选题：新型农村合作医疗 + 医疗服务　；参考：《郑州大学》2014年硕士论文

【摘要】：新型农村合作医疗，即“新农合”。由政府进行组织、支持、引导。农民自愿参加。政府、集体和个人多方筹资。以大病统筹为主的医疗互助共济的制度。我国几亿农广大农民的医疗条件改善与“新农合”的建立是密不可分的，“新农合”的建立可以有效的加快我国提高城镇化进度并加快向小康社会迈进的步伐，更好的促进社会的公平性，缓解城市与农村的二元结构中的矛盾，有效的促进和谐社会的建设。本文研究对象是L县新型农村合作医疗，，通过历史资料等相关资料，研究建国后我国农村医疗的发展历史及现状。采取抽样、典型调查等社会调查类型开展调查研究工作，收集与课题相关的资料，对L县新型农村合作医疗在当前的实际运行所取得的效果，还有L县采取的管理模式，L县新农合实施的监督运行机制等方面进行分析整理，分析L县新农合运行中存在的问题，提出完善L县新农合制度相对应的政策建议。总结来说，本文通过对L县新型农村合作医疗的分析调查，得出的结论主要有下面几个方面： 1、通过下乡深入到基层对相关参保人员进行实地走访、问卷调查的方法，对L县新型农村合作医疗的具体操作过程，其新农合的实际效果进行了相对比较系统和全面的总结。通过总结我们发现到，相关的参合农民的参保医院不强烈，其对新型农村合作医疗的认识也很浅薄，他们对作为基层医疗服务单位的乡镇卫生院的服务质量也有所担心，并且普遍认为新农合的补助标准相对比较低。这些问题都是因为政府及新农合管理部门的宣传动员工作不到位造成的，所以还应加大对新型农村合作医疗的宣传动员工作力度。 2、对L县新农合制度的实际运行效果、采取的管理模式、监督运行机制等几个方面进行分析，总结整理L县新型农村合作医疗在实施过程中所存在的相关法律法规缺失、筹资机制不稳定、农村基层医疗机构设备落后和服务水平较低等问题。 3、就L县新农合所实施的的筹资机制，运行的管理机制和过程中的监督机制，分析后提出相对应的对策，以及建议。包括：加快新农合的法制建设、建立持久稳定的筹资机制、完善医疗体系，加强医疗基础设施建设，还要做好政策宣传动员工作等措施。
[Abstract]:New rural cooperative medical system, that is, "new rural cooperation."Organized, supported and guided by the government.Farmers volunteered to participate.Government, collective and individual financing.The system of medical aid and mutual aid, which is based on the coordination of serious illness.The improvement of medical condition of hundreds of millions of farmers in China is closely related to the establishment of "new rural cooperation". The establishment of "new rural cooperation" can effectively accelerate the progress of urbanization and step forward to a well-off society in China.Better promote the fairness of society, alleviate the contradiction between urban and rural dual structure, and effectively promote the construction of a harmonious society.The research object of this paper is the New Rural Cooperative Medical system in L County. The history and present situation of rural medical treatment in China after the founding of the people's Republic of China are studied through historical data and other relevant data.Adopting sampling, typical investigation and other types of social investigation to carry out investigation and research work, collecting information related to the subject, and the effect of the new rural cooperative medical system in L County on the actual operation at present.There is also the management mode adopted in L County, such as the supervision and operation mechanism of the implementation of New Rural Cooperation in L County. The problems existing in the operation of New Rural Cooperation in L County are analyzed, and the corresponding policy suggestions are put forward to perfect the New Rural Cooperation system in L County.In conclusion, through the analysis and investigation of the New Rural Cooperative Medical system in L County, the conclusions are as follows:1. Through going to the countryside to go deep to the grassroots to carry on the field visit to the relevant insured personnel, questionnaire method, the concrete operation process of the new rural cooperative medical system in L county, the actual effect of the new rural cooperative medical system is comparatively systematic and comprehensive summary.Through summing up, we find that the relevant participating farmers' participating and insured hospitals are not strong, their understanding of the new rural cooperative medical care is also very shallow, and they are also worried about the service quality of the township health centers, which are the primary medical service units.And it is generally believed that the standard of subsidies for NCMS is relatively low.These problems are caused by the lack of propaganda and mobilization work of the government and the new rural cooperative management department, so we should strengthen the propaganda and mobilization of the new rural cooperative medical care.2. Analyze the actual operation effect, management mode and supervision mechanism of the new rural cooperative medical system in L county, summarize and sort out the lack of relevant laws and regulations in the process of implementation of the new rural cooperative medical system in L county.Financing mechanism is unstable, rural primary medical facilities are backward and service level is low.3. According to the financing mechanism, the management mechanism and the supervision mechanism in the process, the corresponding countermeasures and suggestions are put forward after the analysis of the financing mechanism, the management mechanism and the supervision mechanism in the process of the New Rural Cooperation in L County.These measures include: speeding up the legal construction of the new rural cooperation, establishing a sustainable and stable financing mechanism, perfecting the medical system, strengthening the construction of medical infrastructure, and doing a good job in promoting and mobilizing policies and other measures.
【学位授予单位】：郑州大学
【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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