河南省新型农村合作医疗实施现状及问题研究

发布时间：2019-06-10 21:32

【摘要】：从2003年开始,河南省为积极响应国家号召,进一步发展统筹城乡,提高农民群众的基本医疗水平和健康意识,在省内部分地开始了新型农村合作医疗制度的试点工作,截至2008年新型农村合作基本医疗制度在河南省已实现了全省覆盖。新型农村合作医疗制度为农民带来了巨大的利益,目的在于解决农民在社会生活中出现的实际问题,比如,“因病返贫及因病致贫”的困境。到今天为止,河南省在省政府的统一组织之下,各相关部门共同努力,新型农村合作医疗政策取得的成效是显而易见的。但随着时间的逐渐推进,新型农村合作医疗制度的实施推广在我省不同城市的具体实施中凸显出一些不足之处。针对这些已经出现的相关问题,必须在以实际情况为基础的前提下,积极的探索研究,制定出适合当地发展的相关制度,从而有推进新型农村合作医疗制度在我省顺利、高效的运行,使该医疗制度充分发挥其真正的作用,为参合农户带来福利,减轻生活负担。本文通过对河南省新型农村合作医疗制度实施推广现状的调查研究,包括广大农户对新农合医疗政策的认知情况,政府对基层医疗设施的投入情况,以及医疗基金的使用与管理等方面的研究,并对其存在的问题与不足进行整理与分析,以便有效的制定相关的解决办法,进一步促进新农合制度在我省的发展与实施。本文内容一共分为以下几个部分,第一部分是研究背景与意义、研究思路、研究内容及研究方法,并对国内的新型农村合作医疗现有的研究进行了总结;第二部分是针对新农合在实施过程中广大农民的参合情况、收益情况、认知情况、医疗机制以及补偿制度等现状进行分析。以新型农村合作医疗制度在河南省实施推广现状作为分析点进行研究;第三部分主要是通过政府宣传力度,医疗设施的供给,新型农村合作医疗的筹集及补偿金额等方面,详细分析了制度中存在的具体问题及不足;第四部分是从政府对所实施的医疗制度的宣传情况,对医疗机构设施及人员的供给情况,医疗机构的各项监督管理工作方面提出改善建议;第五部分通过前四章的阐述对本文进行最后的总结与分析。
[Abstract]:Since 2003, Henan Province has started the pilot work of a new rural cooperative medical system in part in order to respond positively to the call of the state, further develop urban and rural areas as a whole, and improve the basic medical level and health awareness of the peasants. By 2008, the new rural cooperative basic medical system in Henan Province has achieved provincial coverage. The new rural cooperative medical system has brought great benefits to farmers, in order to solve the practical problems of farmers in social life, such as the dilemma of "returning to poverty due to illness and poverty caused by illness". So far, under the unified organization of the provincial government in Henan Province, all relevant departments have made joint efforts, and the results of the new rural cooperative medical policy are obvious. However, with the gradual progress of time, the implementation and promotion of the new rural cooperative medical system has highlighted some shortcomings in the specific implementation of different cities in our province. In view of these relevant problems, we must actively explore and study on the premise of taking the actual situation as the basis, and formulate the relevant system suitable for the local development, so as to promote the new rural cooperative medical system smoothly in our province. Efficient operation makes the medical system give full play to its real role, bring welfare to participating farmers and lighten the burden of life. Based on the investigation and study on the present situation of the implementation and popularization of the new rural cooperative medical system in Henan Province, this paper includes the cognition of farmers to the new rural cooperative medical policy and the government's investment in primary medical facilities. And the use and management of medical funds, and the existing problems and shortcomings are sorted out and analyzed in order to effectively formulate relevant solutions and further promote the development and implementation of the new rural cooperative system in our province. The content of this paper is divided into the following parts: the first part is the research background and significance, research ideas, research content and research methods, and summarizes the existing research of the new rural cooperative medical system in China. The second part is to analyze the current situation of farmers' participation, income, cognition, medical mechanism and compensation system in the implementation of NCMS. This paper takes the present situation of the implementation and popularization of the new rural cooperative medical system in Henan Province as the analysis point to carry on the research. The third part analyzes the specific problems and shortcomings in the system in detail through the government propaganda, the supply of medical facilities, the collection of new rural cooperative medical system and the amount of compensation. The fourth part is from the government to the implementation of the medical system publicity, the supply of facilities and personnel in medical institutions, the supervision and management of medical institutions put forward suggestions for improvement; The fifth part makes the final summary and analysis of this paper through the first four chapters.
【学位授予单位】：河南师范大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：F842.684;F323.89;R197.1

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