本文選題：新型農(nóng)村合作醫(yī)療 + 醫(yī)療服務(wù)��； 參考：《鄭州大學(xué)》2014年碩士論文

【摘要】：新型農(nóng)村合作醫(yī)療，即“新農(nóng)合”。由政府進(jìn)行組織、支持、引導(dǎo)。農(nóng)民自愿參加。政府、集體和個(gè)人多方籌資。以大病統(tǒng)籌為主的醫(yī)療互助共濟(jì)的制度。我國(guó)幾億農(nóng)廣大農(nóng)民的醫(yī)療條件改善與“新農(nóng)合”的建立是密不可分的，“新農(nóng)合”的建立可以有效的加快我國(guó)提高城鎮(zhèn)化進(jìn)度并加快向小康社會(huì)邁進(jìn)的步伐，更好的促進(jìn)社會(huì)的公平性，緩解城市與農(nóng)村的二元結(jié)構(gòu)中的矛盾，有效的促進(jìn)和諧社會(huì)的建設(shè)。 本文研究對(duì)象是L縣新型農(nóng)村合作醫(yī)療，，通過(guò)歷史資料等相關(guān)資料，研究建國(guó)后我國(guó)農(nóng)村醫(yī)療的發(fā)展歷史及現(xiàn)狀。采取抽樣、典型調(diào)查等社會(huì)調(diào)查類型開(kāi)展調(diào)查研究工作，收集與課題相關(guān)的資料，對(duì)L縣新型農(nóng)村合作醫(yī)療在當(dāng)前的實(shí)際運(yùn)行所取得的效果，還有L縣采取的管理模式，L縣新農(nóng)合實(shí)施的監(jiān)督運(yùn)行機(jī)制等方面進(jìn)行分析整理，分析L縣新農(nóng)合運(yùn)行中存在的問(wèn)題，提出完善L縣新農(nóng)合制度相對(duì)應(yīng)的政策建議。 總結(jié)來(lái)說(shuō)，本文通過(guò)對(duì)L縣新型農(nóng)村合作醫(yī)療的分析調(diào)查，得出的結(jié)論主要有下面幾個(gè)方面： 1、通過(guò)下鄉(xiāng)深入到基層對(duì)相關(guān)參保人員進(jìn)行實(shí)地走訪、問(wèn)卷調(diào)查的方法，對(duì)L縣新型農(nóng)村合作醫(yī)療的具體操作過(guò)程，其新農(nóng)合的實(shí)際效果進(jìn)行了相對(duì)比較系統(tǒng)和全面的總結(jié)。通過(guò)總結(jié)我們發(fā)現(xiàn)到，相關(guān)的參合農(nóng)民的參保醫(yī)院不強(qiáng)烈，其對(duì)新型農(nóng)村合作醫(yī)療的認(rèn)識(shí)也很淺薄，他們對(duì)作為基層醫(yī)療服務(wù)單位的鄉(xiāng)鎮(zhèn)衛(wèi)生院的服務(wù)質(zhì)量也有所擔(dān)心，并且普遍認(rèn)為新農(nóng)合的補(bǔ)助標(biāo)準(zhǔn)相對(duì)比較低。這些問(wèn)題都是因?yàn)檎靶罗r(nóng)合管理部門(mén)的宣傳動(dòng)員工作不到位造成的，所以還應(yīng)加大對(duì)新型農(nóng)村合作醫(yī)療的宣傳動(dòng)員工作力度。 2、對(duì)L縣新農(nóng)合制度的實(shí)際運(yùn)行效果、采取的管理模式、監(jiān)督運(yùn)行機(jī)制等幾個(gè)方面進(jìn)行分析，總結(jié)整理L縣新型農(nóng)村合作醫(yī)療在實(shí)施過(guò)程中所存在的相關(guān)法律法規(guī)缺失、籌資機(jī)制不穩(wěn)定、農(nóng)村基層醫(yī)療機(jī)構(gòu)設(shè)備落后和服務(wù)水平較低等問(wèn)題。 3、就L縣新農(nóng)合所實(shí)施的的籌資機(jī)制，運(yùn)行的管理機(jī)制和過(guò)程中的監(jiān)督機(jī)制，分析后提出相對(duì)應(yīng)的對(duì)策，以及建議。包括：加快新農(nóng)合的法制建設(shè)、建立持久穩(wěn)定的籌資機(jī)制、完善醫(yī)療體系，加強(qiáng)醫(yī)療基礎(chǔ)設(shè)施建設(shè)，還要做好政策宣傳動(dòng)員工作等措施。
[Abstract]:New rural cooperative medical system, that is, "new rural cooperation."Organized, supported and guided by the government.Farmers volunteered to participate.Government, collective and individual financing.The system of medical aid and mutual aid, which is based on the coordination of serious illness.The improvement of medical condition of hundreds of millions of farmers in China is closely related to the establishment of "new rural cooperation". The establishment of "new rural cooperation" can effectively accelerate the progress of urbanization and step forward to a well-off society in China.Better promote the fairness of society, alleviate the contradiction between urban and rural dual structure, and effectively promote the construction of a harmonious society.The research object of this paper is the New Rural Cooperative Medical system in L County. The history and present situation of rural medical treatment in China after the founding of the people's Republic of China are studied through historical data and other relevant data.Adopting sampling, typical investigation and other types of social investigation to carry out investigation and research work, collecting information related to the subject, and the effect of the new rural cooperative medical system in L County on the actual operation at present.There is also the management mode adopted in L County, such as the supervision and operation mechanism of the implementation of New Rural Cooperation in L County. The problems existing in the operation of New Rural Cooperation in L County are analyzed, and the corresponding policy suggestions are put forward to perfect the New Rural Cooperation system in L County.In conclusion, through the analysis and investigation of the New Rural Cooperative Medical system in L County, the conclusions are as follows:1. Through going to the countryside to go deep to the grassroots to carry on the field visit to the relevant insured personnel, questionnaire method, the concrete operation process of the new rural cooperative medical system in L county, the actual effect of the new rural cooperative medical system is comparatively systematic and comprehensive summary.Through summing up, we find that the relevant participating farmers' participating and insured hospitals are not strong, their understanding of the new rural cooperative medical care is also very shallow, and they are also worried about the service quality of the township health centers, which are the primary medical service units.And it is generally believed that the standard of subsidies for NCMS is relatively low.These problems are caused by the lack of propaganda and mobilization work of the government and the new rural cooperative management department, so we should strengthen the propaganda and mobilization of the new rural cooperative medical care.2. Analyze the actual operation effect, management mode and supervision mechanism of the new rural cooperative medical system in L county, summarize and sort out the lack of relevant laws and regulations in the process of implementation of the new rural cooperative medical system in L county.Financing mechanism is unstable, rural primary medical facilities are backward and service level is low.3. According to the financing mechanism, the management mechanism and the supervision mechanism in the process, the corresponding countermeasures and suggestions are put forward after the analysis of the financing mechanism, the management mechanism and the supervision mechanism in the process of the New Rural Cooperation in L County.These measures include: speeding up the legal construction of the new rural cooperation, establishing a sustainable and stable financing mechanism, perfecting the medical system, strengthening the construction of medical infrastructure, and doing a good job in promoting and mobilizing policies and other measures.
【學(xué)位授予單位】：鄭州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：F842.684;F323.89;R197.1

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