本文關(guān)鍵詞： 新農(nóng)合 實(shí)施效果 參保意愿 報銷比例　出處：《武漢輕工大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：建立新型農(nóng)村合作醫(yī)療制度，，是從我國基本國情出發(fā)，解決農(nóng)民看病難問題的一項(xiàng)重大舉措，對于提高農(nóng)民健康水平、緩解農(nóng)民因病致貧、因病返貧、統(tǒng)籌城鄉(xiāng)發(fā)展、實(shí)現(xiàn)全面建設(shè)小康社會目標(biāo)具有重要作用。截止2013年末，2489個縣（市、區(qū)）實(shí)施了新型農(nóng)村合作醫(yī)療制度，新型農(nóng)村合作醫(yī)療參合率99.0%；1-9月新型農(nóng)村合作醫(yī)療基金支出總額為2067億元。 政府介入是新農(nóng)合區(qū)別于老農(nóng)合的根本之處，體現(xiàn)了公平的原則。同時，新農(nóng)合作為改變農(nóng)民購買醫(yī)療服務(wù)的手段，本身并不違背效率原則，制度的良好運(yùn)行也將使得公平與效率能夠得到更好的兼顧。經(jīng)過多年運(yùn)行，新農(nóng)合制度不斷完善，取得了非常好的保障效果，但是由于制度設(shè)計的缺陷以及醫(yī)療衛(wèi)生體制本身的復(fù)雜性，使得新農(nóng)合運(yùn)行過程中仍然存在著較為突出的問題。 為此，本文基于河南省潢川縣的實(shí)證調(diào)查，將對新型農(nóng)村合作醫(yī)療制度的實(shí)施效果進(jìn)行評估，并提出相應(yīng)的改進(jìn)意見。首先，梳理國內(nèi)外相關(guān)文獻(xiàn)，重點(diǎn)研究歸納國外醫(yī)療保障相關(guān)理論及評價框架，找出其優(yōu)勢所在。其次，將國外先進(jìn)的理論和評價體系與我國其他地區(qū)新農(nóng)合的探索實(shí)際進(jìn)行分析，嘗試建立一套評價我國新型農(nóng)村合作醫(yī)療制度的框架和方法。第三，根據(jù)設(shè)計的評價框架和方法，結(jié)合潢川縣的調(diào)查數(shù)據(jù)，分別從新型農(nóng)村合作醫(yī)療的參與情況、參與意愿，費(fèi)用報銷比例、報銷范圍，繳費(fèi)意愿、繳費(fèi)能力以及享受新農(nóng)合待遇過程中的服務(wù)、管理現(xiàn)狀等對潢川縣新型農(nóng)村合作醫(yī)療制度實(shí)施狀況進(jìn)行評價，并針對存在的問題提出相關(guān)建議。
[Abstract]:The establishment of a new rural cooperative medical care system is a major measure to solve the difficult problem of farmers' medical treatment from the basic conditions of our country. It can improve the health level of farmers and alleviate the poverty caused by illness and return to poverty because of illness. Planning urban and rural development to achieve the goal of building a well-off society in an all-round way plays an important role. Until end of 2013, 2489 counties (cities, districts) implemented the new rural cooperative medical system. The participation rate of the new rural cooperative medical system is 99.0; January-September new rural cooperative medical fund total expenditure of 206.7 billion yuan. Government intervention is the fundamental difference between the new rural cooperation and the old one, which embodies the principle of fairness. At the same time, the new rural cooperation does not violate the principle of efficiency in order to change the means of farmers to purchase medical services. The good operation of the system will also make fairness and efficiency better. After many years of operation, the new agricultural cooperation system has been continuously improved, and achieved a very good security effect. However, due to the defects of the system design and the complexity of the medical and health system itself, there are still some outstanding problems in the operation of NCMS. Therefore, this paper based on the empirical investigation of Huangchuan County, Henan Province, will evaluate the implementation of the new rural cooperative medical system, and put forward corresponding suggestions. First, comb the relevant literature at home and abroad. Focus on the study of foreign medical security related theories and evaluation framework to find out its advantages. Secondly, the advanced foreign theory and evaluation system and the exploration of other regions of China are analyzed. Try to establish a set of evaluation of the new rural cooperative medical system framework and methods. Third, according to the design of the evaluation framework and methods, combined with Huangchuan County survey data. Respectively from the new rural cooperative medical participation, participation willingness, expense reimbursement ratio, reimbursement scope, payment willingness, the ability to pay and enjoy the new rural cooperative treatment in the process of services. This paper evaluates the implementation of the new rural cooperative medical system in Huangchuan County and puts forward some suggestions for the existing problems.
【學(xué)位授予單位】：武漢輕工大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：F842.684;F323.89;R197.1

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