我国新型农村合作医疗制度的公平性研究
发布时间：2018-08-18 16:31
【摘要】：新型农村合作医疗，简称“新农合”，是指由政府组织、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，采取个人缴费、集体扶持和政府资助的方式筹集资金。本文主要通过集中曲线数据表格等方法，对全国30省市自治区直辖市的新农合筹资和受益公平性进行研究，通过分析不同地区不同收入群体在新农合的筹资和受益方面的公平性问题，在找出问题的前提下，，提出相应的解决问题的对策和思路。结果显示，经济发展水平不同的地区，新农合公平性存在不足，具体表现为富裕地区参合农民在筹资和受益方面获益更多，贫困地区参合农民受益相对少；同一地区的较富裕农民受益较多，较贫困地区受益较少；新农合相对城镇职工医保仍然公平性不足。因此，改善新型农村合作医疗制度的公平性仍然是今后新农合改革的重点。政府应该在资金投入制度设计上，更多地向贫困群体倾斜，在筹资政策补偿政策的制定上更加倾向于低收入群体的，体现制度的弹性，同时借鉴发达国家和发展中国家的经验，通过大力加强基层医疗服务网络，培养社区全科医生，夯实基层医疗服务基础，逐步的改善新农合的公平性，实现中央通过新农合解决农村看病难看病贵的初衷。
[Abstract]:The New Rural Cooperative Medical Scheme (NCMS), referred to as "New Rural Cooperative Medical Scheme", refers to the system of mutual assistance and co-relief of peasants' medical care, which is organized, guided, supported, voluntarily participated by farmers, financed by individuals, collectives and governments, and mainly coordinated by serious illness, and which adopts individual contributions. To raise funds by means of collective support and government support. This paper studies the equity and financing of NCMS in 30 provinces, autonomous regions and municipalities directly under the Central Government by means of centralized curve data table. Based on the analysis of the equity of different income groups in the financing and benefit of NCMS in different regions, this paper puts forward the corresponding countermeasures and ideas to solve the problem on the premise of finding out the problem. The results show that in the regions with different levels of economic development, the equity of NCMS is insufficient, which is manifested by the fact that the farmers in the rich areas benefit more in financing and benefit, while the farmers in the poor areas benefit less; The wealthier farmers in the same area benefited more, and the poorer areas benefited less. Therefore, improving the fairness of the new rural cooperative medical system is still the focus of the new rural cooperative medical system reform. The government should be more inclined to poor groups in the design of financial investment system, more inclined to low-income groups in the formulation of financing policy compensation policy, reflect the flexibility of the system, and at the same time learn from the experiences of developed and developing countries. Through strengthening the primary medical service network, training the community general practitioners, tamping the basic medical service foundation, gradually improving the fairness of the new rural cooperation, the central government through the new rural medical cooperation to solve the difficult to see a doctor expensive original intention.
【学位授予单位】：山东财经大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：F323.89;F842.684;R197.1
本文编号：2190036
[Abstract]:The New Rural Cooperative Medical Scheme (NCMS), referred to as "New Rural Cooperative Medical Scheme", refers to the system of mutual assistance and co-relief of peasants' medical care, which is organized, guided, supported, voluntarily participated by farmers, financed by individuals, collectives and governments, and mainly coordinated by serious illness, and which adopts individual contributions. To raise funds by means of collective support and government support. This paper studies the equity and financing of NCMS in 30 provinces, autonomous regions and municipalities directly under the Central Government by means of centralized curve data table. Based on the analysis of the equity of different income groups in the financing and benefit of NCMS in different regions, this paper puts forward the corresponding countermeasures and ideas to solve the problem on the premise of finding out the problem. The results show that in the regions with different levels of economic development, the equity of NCMS is insufficient, which is manifested by the fact that the farmers in the rich areas benefit more in financing and benefit, while the farmers in the poor areas benefit less; The wealthier farmers in the same area benefited more, and the poorer areas benefited less. Therefore, improving the fairness of the new rural cooperative medical system is still the focus of the new rural cooperative medical system reform. The government should be more inclined to poor groups in the design of financial investment system, more inclined to low-income groups in the formulation of financing policy compensation policy, reflect the flexibility of the system, and at the same time learn from the experiences of developed and developing countries. Through strengthening the primary medical service network, training the community general practitioners, tamping the basic medical service foundation, gradually improving the fairness of the new rural cooperation, the central government through the new rural medical cooperation to solve the difficult to see a doctor expensive original intention.
【学位授予单位】：山东财经大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：F323.89;F842.684;R197.1
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