本文關鍵詞： 農村醫(yī)療保障制度 新型農村合作醫(yī)療 問題 對策　出處：《中國海洋大學》2013年碩士論文　論文類型：學位論文

【摘要】：進入新世紀以來,黨和政府大力推進農村醫(yī)療保障制度,新型農村合作醫(yī)療作為社會主義新農村建設的重要內容已在全國范圍內普遍實施。但是,人口眾多特別是農村人口眾多作為我國現(xiàn)有國情決定了農村合作醫(yī)療制度是一項防范程度較低、管理相對粗放、發(fā)展很不穩(wěn)定的制度。因此,新型農村合作醫(yī)療制度的有效實施關乎我國農村經濟發(fā)展和社會穩(wěn)定大局。 農村合作醫(yī)療制度自建立以來,在我國廣大農村地區(qū)經歷了幾起幾落。而理論界對農村醫(yī)療保障問題的研究主要集中在：新型農村合作醫(yī)療保險制度實施績效與問題、新型農村合作醫(yī)療保險制度的運行機制、進一步完善新型農村合作醫(yī)療保險制度等方面,他們的特點都在于緊密結合黨和政府的方針政策,聯(lián)系農村社會保障的進程,尋找問題、分析原因、提出政策與建議,這些研究為指導中國農村醫(yī)療保障的改革與發(fā)展起了重要作用。但是,這些研究似乎有一定的局限性,確實有進一步研究、補充和發(fā)展的必要。 本文總結我國農村合作醫(yī)療保障在實踐過程中的經驗教訓,結合現(xiàn)階段的具體國情,針對新型農村合作醫(yī)療制度在實施中存在的問題,從農民、政府、制度本身三個方面出發(fā)分析原因,并借鑒國際有關農村醫(yī)療保障制度的經驗,為實現(xiàn)新型農村合作醫(yī)療又好又快發(fā)展提出建設性的對策與建議,主要包括“隱性”強制與“顯性”強制相結合、優(yōu)化醫(yī)療資源配置實現(xiàn)城鄉(xiāng)一體化、在農村醫(yī)療機構推進基本藥物制度、將“共保聯(lián)辦”項目在更大范圍內推廣等。
[Abstract]:Since entering the new century, the party and the government to vigorously promote the rural medical security system, the new rural cooperative medical system as an important part of the construction of new socialist countryside in the country has been widely implemented. However, a large population especially the rural population as the present situation of our country determines the rural cooperative medical system is a low level of prevention, management relatively extensive development is not a stable system. Therefore, the new rural cooperative medical system is effective implementation of China's rural economic development and social stability.
The rural cooperative medical system since the establishment, in the vast rural areas of China has experienced several ups and downs. And Research on the rural medical security problem the theory focuses on the performance and problems of the implementation of the new rural cooperative medical insurance system, the operation mechanism of the new rural cooperative medical insurance system, to further improve the new rural cooperative medical insurance system and other aspects. Their characteristics is closely combined with the policy of Party and government, with the rural social security process, looking for problems, analyze the causes, and put forward the policy suggestions, these studies to guide the reform and development of rural medical security Chinese plays an important role. However, these studies seem to have certain limitations, have further research and development of the necessary supplement.
This paper summarizes our country rural cooperative medical insurance experience in the practice process, combined with the specific national conditions at the present stage, the new rural cooperative medical system in the implementation of the existing problems in the system itself from farmers, government, the three aspects of the reason analysis, and draw lessons from the international experience about the rural medical security system, put forward the countermeasure and constructive suggestions for the realization of the new rural cooperative medical system development, including the "hidden" mandatory "dominant" and combination of compulsory, optimize the allocation of medical resources to achieve the integration of urban and rural areas, promote the basic drug system in rural medical institutions, the promotion of coinsurance Jo project in a wider range.

【學位授予單位】：中國海洋大學
【學位級別】：碩士
【學位授予年份】：2013
【分類號】：F323.89;F842.684

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