我國新型農(nóng)村合作醫(yī)療制度的機理研究
[Abstract]:This paper firstly introduces the new rural cooperative medical system in detail, including the background of the new rural cooperative medical system, the evolution process of the new rural cooperative medical system, and discusses the differences between the new rural cooperative medical system and the traditional rural cooperative medical system through comparative study. This paper highlights the advantages and advantages of the new agricultural cooperation system, analyzes the annual development of the new rural cooperation system since its inception, analyzes the problems existing in the development process of the new rural cooperation system, and provides a practical reference basis for the following study of the mechanism of the new agricultural cooperation system. Then, this paper studies the optimal design of the government subsidy contract in the new agricultural cooperation system. By constructing the principal-agent model of the government, the management agency of the new agricultural cooperative fund and the farmers, this paper uses the mathematical method. The theoretical optimal value of the optimal participation cost, the optimal government subsidy amount and the proportion of farmers' reimbursement after illness in the new rural cooperative medical insurance system are obtained. This paper discusses how to attract more farmers to participate in the cooperative medical insurance system under the premise of ensuring the sustainable development of the new rural cooperative medical insurance system within the government budget. In this paper, under some conditions, the new rural cooperative fund management agency will take the new rural cooperative fund, defrauding the government of financial subsidies, leading to no farmers willing to participate in the new rural cooperation. In this case, in order to make farmers trust and really benefit from the new rural cooperative system, the government must take some measures to supervise and regulate the behavior of the new rural cooperative fund management agency. Finally, this paper studies the selection strategy of NCMS designated medical institutions, and discusses how to select designated medical institutions in two kinds of hospitals with different levels of medical service. At the end of the paper, the numerical experiments show that the total number of doctors in the third Class A Hospital is more than that in the Community Hospital. And the difference between the total number of patients increased with the increase of reimbursement ratio. Through the analysis of the government budget in two cases, when the perceived value of the participating patients to the medical service level of the third Class A hospital is very close to the perceived value of the community hospital medical service level, The government has an optimal strategy for the selection of designated hospitals. The strategy is to select the third Class A Hospital which has a high level of medical service as a designated medical institution, which can minimize the government budget on the basis of ensuring the largest number of patients.
【學(xué)位授予單位】:華南理工大學(xué)
【學(xué)位級別】:碩士
【學(xué)位授予年份】:2013
【分類號】:F323.89;R197.1;F842.684
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