【摘要】：新型農(nóng)村合作醫(yī)療是由政府組織、引導(dǎo)、支持，村民自愿參與，個(gè)人、集體和政府多方籌資，以大病統(tǒng)籌為主的農(nóng)民醫(yī)療互助共濟(jì)制度[1]，是適合我國(guó)國(guó)情的農(nóng)民健康保健制度的一種有效形式，是新農(nóng)村建設(shè)及醫(yī)療體制改革的重要組成部分。在我國(guó)的歷史上曾經(jīng)是構(gòu)成我國(guó)農(nóng)村社會(huì)保障體系的不可或缺的部分。從2003年1月《關(guān)于建立新型農(nóng)村合作醫(yī)療保障制度》誕生至今，它的建立在一定程度上改變了長(zhǎng)期以來(lái)農(nóng)民“小病拖、大病扛”的落后醫(yī)療健康理念，使農(nóng)民“看病難”、“看病貴”等一系列醫(yī)療問(wèn)題得到改善，，贏得了廣大農(nóng)民的支持和認(rèn)可。當(dāng)前新時(shí)期下，新情況和新問(wèn)題不斷涌現(xiàn)，政策發(fā)展變得嚴(yán)峻。如何健全和完善新型農(nóng)村合作醫(yī)療制度是擺在我們面前的十分重要且亟待解決的課題。 本文運(yùn)用公共管理理論知識(shí)，采取多種相關(guān)研究方法，以青田縣新型農(nóng)村合作醫(yī)療政策為例，通過(guò)描述青田縣新型農(nóng)村合作醫(yī)療政策的發(fā)展歷程、實(shí)施成效及政策特點(diǎn)，提出了當(dāng)前青田縣新型農(nóng)村合作醫(yī)療現(xiàn)行政策中存在的幾個(gè)關(guān)鍵性的問(wèn)題，進(jìn)行透徹的分析。問(wèn)題主要包括籌資結(jié)構(gòu)不合理，渠道單一；醫(yī)療費(fèi)用補(bǔ)償設(shè)計(jì)不合理及新型農(nóng)村合作醫(yī)療管理體制與監(jiān)管機(jī)制缺乏等三方面。之后，從認(rèn)識(shí)、立法、財(cái)政、管理和體制四個(gè)角度分析其存在問(wèn)題的原因。最后針對(duì)目前青田縣新型農(nóng)村合作醫(yī)療政策三個(gè)關(guān)鍵性的問(wèn)題逐一提出解決對(duì)策。為青田縣新型農(nóng)村合作醫(yī)療政策下一階段的發(fā)展提供理論參考；為統(tǒng)籌城鄉(xiāng)社會(huì)經(jīng)濟(jì)發(fā)展和醫(yī)療衛(wèi)生事業(yè)的持續(xù)穩(wěn)步前進(jìn)提供參考依據(jù)；為進(jìn)一步緩解農(nóng)民“看病難”、“看病貴”、“因病致貧”、“因病返貧”的問(wèn)題發(fā)揮巨大的作用。
[Abstract]:The new rural cooperative medical care system is a system of mutual aid and mutual aid of peasants' medical care, which is organized, guided, supported, voluntarily participated by the villagers, financed by individuals, collectives and governments, and mainly coordinated with serious illness [1]. It is an effective form of farmer health care system suitable for China's national conditions and an important part of the construction of new countryside and the reform of medical system. In the history of our country, it was an indispensable part of the rural social security system. Since the birth of the New Rural Cooperative Medical Insurance system in January 2003, the establishment of the system has to some extent changed the backward medical and health concept of farmers, which has long been carrying "minor illness and serious illness", making it difficult for farmers to see a doctor. A series of medical problems, such as "expensive to see a doctor", have been improved and won the support and recognition of the majority of farmers. Under the present new period, the new situation and the new question unceasingly emerge, the policy development becomes austere. How to perfect and perfect the new rural cooperative medical system is a very important and urgent task in front of us. This paper applies the theory of public management, adopts a variety of relevant research methods, taking the new rural cooperative medical policy in Qingtian County as an example, through describing the development course, implementation effect and policy characteristics of the new rural cooperative medical care policy in Qingtian County. This paper puts forward several key problems existing in the current policy of the new rural cooperative medical system in Qingtian County and makes a thorough analysis. The main problems include unreasonable financing structure, single channel, unreasonable design of medical expenses compensation and lack of management system and supervision mechanism of new rural cooperative medical system. After that, the causes of the problems are analyzed from the aspects of cognition, legislation, finance, management and system. Finally, three key problems of the new rural cooperative medical policy in Qingtian county are put forward one by one. To provide theoretical reference for the development of the new rural cooperative medical policy in Qingtian County, and to provide the reference basis for coordinating the social and economic development of urban and rural areas and the sustainable and steady progress of medical and health services. In order to further alleviate the farmers "difficult to see a doctor", "expensive to see a doctor", "poor because of illness", "return to poverty due to illness" play a great role.
【學(xué)位授予單位】：電子科技大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類(lèi)號(hào)】：F323.89;R197.1

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