中国新型农村合作医疗制度的问题与对策

发布时间：2019-02-22 19:58

【摘要】：中国作为全球第一大发展中国家，在发展中国家的农村医疗保障方面没有任何可遵循的规律，只能摸着石头过河。新型农村合作医疗自2003年试点以来，农民广泛参与，，至今已经取得了一定的成效。但是与较高的参合率比起来,我国新型农村合作医疗尚存在一些不足。鉴于此,本文在阅读与我国新型农村合作医疗制度相关国内外文献的基础上,借助相关理论研究通过对我国农村医疗的历史演进及我国新型农村合作医疗的发展过程进行系统分析,同时对比新旧制度来衡量新型农村合作医疗的发展状况。然后对新型农村合作医疗制度的运行现状做了系统介绍，其中根据对中、东、西部地区新型农村合作医疗参保情况的比较，得出结论，城市出现大量农村流动人口的原因是农村人口从中、西部地区流向经济较发达的东部地区。以此，从着重解决城市农村流动人口异地就医的角度，客观思考我国新型农村合作医疗制度中存在的问题,并有针对性的提出解决对策。最后从新型农村合作医疗制度的环境，包括农村城镇化及市场化的趋势和未来新型农村合作医疗制度运转将面临的政策落实和基金运转的安全性等方面提出几点思考意见，以期对我国新型农村合作医疗的改革与发展提供一些帮助。
[Abstract]:As the world's largest developing country, China has no rules to follow in rural health care in developing countries. Since 2003, the new rural cooperative medical system (NCMS) has been widely participated by farmers, and has achieved some results. However, compared with the higher participation rate, China's new rural cooperative medical system still has some shortcomings. In view of this, on the basis of reading the domestic and foreign literature related to the new rural cooperative medical system in China, With the help of relevant theoretical research, this paper makes a systematic analysis of the historical evolution of rural medical care and the development process of new rural cooperative medical care in China, and compares the old and new systems to measure the development of new rural cooperative medical care. Then the paper systematically introduces the current situation of the new rural cooperative medical system, and draws a conclusion according to the comparison of the new rural cooperative medical system in the central, eastern and western regions. The reason for the large number of rural floating population in cities is that the rural population flows from the rural population to the eastern region, where the economy is more developed. From the point of view of solving the problems existing in the new rural cooperative medical care system of our country, this paper puts forward some countermeasures to solve the problems from the point of view of solving the problems of the urban and rural floating population seeking medical treatment in different places. Finally, some suggestions are put forward from the aspects of the environment of the new rural cooperative medical system, including the trend of urbanization and marketization in rural areas and the policy implementation and the safety of the fund operation that the new rural cooperative medical system will face in the future. In order to provide some help for the reform and development of the new rural cooperative medical system.
【学位授予单位】：黑龙江大学
【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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