山西省新型农村合作医疗筹资机制研究
发布时间：2018-09-18 10:43
【摘要】： 面对农民卫生费用的不断攀升,农村卫生机构服务质量低下,因病致贫返贫现象的不断增加,面对全面建设小康社会、和谐社会的宏伟目标,如何建立起一个人人可及而又有效的新型农村合作医疗制度,解决农民就医难、就医贵的问题已成为理论界和实践界的当务之急。 建立新型农村合作医疗制度的最大难题在于合作医疗基金的筹集。稳定而具有一定规模的合作医疗基金,是新型农村合作医疗制度顺利开展的基础和保证,而科学合理的合作医疗基金筹集机制恰恰是保证农村合作医疗基金稳定持续的关键,也是开展和推广新型农村合作医疗制度的关键。 本文在系统深入总结国内外相关文献的基础上,介绍了农村合作医疗的基础理论,回顾了我国农村合作医疗筹资机制的变迁过程,重点分析了山西省新型农村合作医疗的筹资现状,包括筹资情况、筹资成本、资金统筹层次,从不同角度深入分析资金筹集的影响因素,以期为新型农村合作医疗制度的健康运行奠定基础。通过对国外农村医疗保障制度有益经验的借鉴,针对性地提出了包括筹资原则、筹资方式、筹资渠道等在内的一系列政策建议,对于构建新型农村合作医疗制度、改革新型农村合作医疗筹资机制具有重要的理论意义和现实意义。
[Abstract]:Facing the rising of farmers' health expenses, the low service quality of rural health institutions, the increasing phenomenon of poverty and returning to poverty caused by illness, and the grand goal of building a well-off society in an all-round way and harmonious society, How to establish a new rural cooperative medical system, which is accessible and effective to everyone, and how to solve the problem that it is difficult for farmers to seek medical treatment and how to seek medical treatment have become an urgent matter for the theoretical and practical circles. The biggest difficulty in establishing the new rural cooperative medical system lies in the raising of the cooperative medical fund. A stable cooperative medical fund with a certain scale is the basis and guarantee for the smooth development of the new rural cooperative medical system, and the scientific and reasonable mechanism of raising the cooperative medical fund is the key to ensure the stability and sustainability of the rural cooperative medical fund. It is also the key to develop and popularize the new rural cooperative medical system. On the basis of systematical and in-depth summary of relevant literature at home and abroad, this paper introduces the basic theory of rural cooperative medical system, and reviews the changing process of financing mechanism of rural cooperative medical system in China. The paper mainly analyzes the current situation of the new rural cooperative medical system in Shanxi Province, including the financing situation, the financing cost, the overall planning level of the fund, and analyzes the influence factors of the fund raising from different angles. In order to lay a foundation for the healthy operation of the new rural cooperative medical system. Based on the beneficial experience of the rural medical security system abroad, this paper puts forward a series of policy recommendations including the principle of financing, the way of raising funds, the channel of financing, and so on, which is helpful to the construction of the new rural cooperative medical system. The reform of the new rural cooperative medical financing mechanism has important theoretical and practical significance.
【学位授予单位】：山西财经大学
【学位级别】：硕士
【学位授予年份】：2007
【分类号】：R197.1
本文编号：2247652
[Abstract]:Facing the rising of farmers' health expenses, the low service quality of rural health institutions, the increasing phenomenon of poverty and returning to poverty caused by illness, and the grand goal of building a well-off society in an all-round way and harmonious society, How to establish a new rural cooperative medical system, which is accessible and effective to everyone, and how to solve the problem that it is difficult for farmers to seek medical treatment and how to seek medical treatment have become an urgent matter for the theoretical and practical circles. The biggest difficulty in establishing the new rural cooperative medical system lies in the raising of the cooperative medical fund. A stable cooperative medical fund with a certain scale is the basis and guarantee for the smooth development of the new rural cooperative medical system, and the scientific and reasonable mechanism of raising the cooperative medical fund is the key to ensure the stability and sustainability of the rural cooperative medical fund. It is also the key to develop and popularize the new rural cooperative medical system. On the basis of systematical and in-depth summary of relevant literature at home and abroad, this paper introduces the basic theory of rural cooperative medical system, and reviews the changing process of financing mechanism of rural cooperative medical system in China. The paper mainly analyzes the current situation of the new rural cooperative medical system in Shanxi Province, including the financing situation, the financing cost, the overall planning level of the fund, and analyzes the influence factors of the fund raising from different angles. In order to lay a foundation for the healthy operation of the new rural cooperative medical system. Based on the beneficial experience of the rural medical security system abroad, this paper puts forward a series of policy recommendations including the principle of financing, the way of raising funds, the channel of financing, and so on, which is helpful to the construction of the new rural cooperative medical system. The reform of the new rural cooperative medical financing mechanism has important theoretical and practical significance.
【学位授予单位】：山西财经大学
【学位级别】：硕士
【学位授予年份】：2007
【分类号】：R197.1
【引证文献】
相关期刊论文 前1条
1 谭琳琳;田庆丰;侯准科;李媛;张鲁豫;肖建霞;;新型农村合作医疗筹资成本影响因素分析[J];中国卫生事业管理;2012年07期
相关硕士学位论文 前3条
1 温斯斯;武陟县新型农村合作医疗筹资成本及影响因素分析[D];郑州大学;2011年
2 赵慧媛;山西省城镇居民基本医疗保险筹资研究[D];山西财经大学;2010年
3 洪霞;辽宁省新型农村合作医疗筹资水平研究[D];辽宁大学;2012年
，本文编号：2247652
本文链接：https://www.wllwen.com/jingjilunwen/bxjjlw/2247652.html
