河北省新型农村合作医疗中政府责任的研究

发布时间：2018-12-27 07:29

【摘要】：新型农村合作医疗制度是由政府组织、引导、支持，农民自愿加入、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救济制度。从其社会功能来分析，应该是一种介于社会救助与社会保障之间的、具有保险性质的医疗互助的社会保障制度。从目前制度实施的效果来看，，新农合制度对于提高农村医疗状况、提升农民素质、缓解医疗负担，解决农民“因病致贫、因病返贫”问题起到了有效的促进作用。但是新农合在取得卓越成就的同时，也暴露出许多问题，影响了政策的进一步深化实施和发展。政府是新农合制度运行的主要执行者，在制度的建设中起着主导作用，履行着宣传引导、资金筹集、监督管理等一系列职责。政府是否能够切实履行自身责任，直接决定了新型农村合作医疗制度的贯彻执行情况，关系到农村医疗保障体系的健全与完善，并最终影响着社会主义和谐社会的构建。因此，本文以河北省的政府责任为切入点，对新型农村合作医疗制度的建设进行探讨研究，具有深刻的理论和现实意义。本文首先对新型农村合作医疗的理论基础进行了描述,从公共财政理论、公共产品理论以及医疗保险理论进行详细的阐述，并且阐述了河北省新型农村合作医疗的发展现状及存在的政府职能的缺陷，继而提出河北省政府在新型农村合作医疗制度建设进程中应该发挥主导作用，与其应积极履行的责任，然后从理论与现实角度提出如何更好地承担责任、履行职责，寻找其实现途径，更好的保障新型农村合作医疗的高效实施，实现其政策作用。
[Abstract]:The new rural cooperative medical care system is a system of farmers' medical mutual assistance and relief, which is organized, guided, supported, voluntarily joined by the government, financed by individuals, collectives and governments, and mainly coordinated by the government. Analyzing from its social function, it should be a kind of social security system with the nature of insurance between social assistance and social security. From the effect of the current system implementation, the new rural cooperative system has played an effective role in improving the rural medical condition, improving the quality of the peasants, alleviating the medical burden, and solving the problem of "poverty caused by illness and returning to poverty because of illness". However, NCMS has made outstanding achievements, but also exposed many problems, which affected the further implementation and development of the policy. The government is the main executor of the operation of the new agricultural cooperation system, which plays a leading role in the construction of the system and performs a series of duties such as propaganda and guidance, fund raising, supervision and management. Whether the government can fulfill its own responsibility directly determines the implementation of the new rural cooperative medical care system, relates to the perfection and perfection of the rural medical security system, and ultimately affects the construction of a harmonious socialist society. Therefore, this article takes the government responsibility of Hebei Province as the breakthrough point, carries on the research to the new rural cooperative medical system construction, has the profound theory and the practical significance. This paper first describes the theoretical basis of the new rural cooperative medical system, including the theory of public finance, the theory of public goods and the theory of medical insurance. It also expounds the present situation of the development of the new rural cooperative medical system in Hebei Province and the defects of the government functions, and then points out that the Hebei provincial government should play a leading role in the construction of the new rural cooperative medical care system. Then from the angle of theory and reality, the author puts forward how to better assume responsibility, perform duty, find the way to realize it, better guarantee the efficient implementation of new rural cooperative medical system, and realize its policy function.
【学位授予单位】：河北大学
【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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