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山西省新型農村合作醫(yī)療籌資機制研究

發(fā)布時間:2018-09-18 10:43
【摘要】: 面對農民衛(wèi)生費用的不斷攀升,農村衛(wèi)生機構服務質量低下,因病致貧返貧現象的不斷增加,面對全面建設小康社會、和諧社會的宏偉目標,如何建立起一個人人可及而又有效的新型農村合作醫(yī)療制度,解決農民就醫(yī)難、就醫(yī)貴的問題已成為理論界和實踐界的當務之急。 建立新型農村合作醫(yī)療制度的最大難題在于合作醫(yī)療基金的籌集。穩(wěn)定而具有一定規(guī)模的合作醫(yī)療基金,是新型農村合作醫(yī)療制度順利開展的基礎和保證,而科學合理的合作醫(yī)療基金籌集機制恰恰是保證農村合作醫(yī)療基金穩(wěn)定持續(xù)的關鍵,也是開展和推廣新型農村合作醫(yī)療制度的關鍵。 本文在系統(tǒng)深入總結國內外相關文獻的基礎上,介紹了農村合作醫(yī)療的基礎理論,回顧了我國農村合作醫(yī)療籌資機制的變遷過程,重點分析了山西省新型農村合作醫(yī)療的籌資現狀,包括籌資情況、籌資成本、資金統(tǒng)籌層次,從不同角度深入分析資金籌集的影響因素,以期為新型農村合作醫(yī)療制度的健康運行奠定基礎。通過對國外農村醫(yī)療保障制度有益經驗的借鑒,針對性地提出了包括籌資原則、籌資方式、籌資渠道等在內的一系列政策建議,對于構建新型農村合作醫(yī)療制度、改革新型農村合作醫(yī)療籌資機制具有重要的理論意義和現實意義。
[Abstract]:Facing the rising of farmers' health expenses, the low service quality of rural health institutions, the increasing phenomenon of poverty and returning to poverty caused by illness, and the grand goal of building a well-off society in an all-round way and harmonious society, How to establish a new rural cooperative medical system, which is accessible and effective to everyone, and how to solve the problem that it is difficult for farmers to seek medical treatment and how to seek medical treatment have become an urgent matter for the theoretical and practical circles. The biggest difficulty in establishing the new rural cooperative medical system lies in the raising of the cooperative medical fund. A stable cooperative medical fund with a certain scale is the basis and guarantee for the smooth development of the new rural cooperative medical system, and the scientific and reasonable mechanism of raising the cooperative medical fund is the key to ensure the stability and sustainability of the rural cooperative medical fund. It is also the key to develop and popularize the new rural cooperative medical system. On the basis of systematical and in-depth summary of relevant literature at home and abroad, this paper introduces the basic theory of rural cooperative medical system, and reviews the changing process of financing mechanism of rural cooperative medical system in China. The paper mainly analyzes the current situation of the new rural cooperative medical system in Shanxi Province, including the financing situation, the financing cost, the overall planning level of the fund, and analyzes the influence factors of the fund raising from different angles. In order to lay a foundation for the healthy operation of the new rural cooperative medical system. Based on the beneficial experience of the rural medical security system abroad, this paper puts forward a series of policy recommendations including the principle of financing, the way of raising funds, the channel of financing, and so on, which is helpful to the construction of the new rural cooperative medical system. The reform of the new rural cooperative medical financing mechanism has important theoretical and practical significance.
【學位授予單位】:山西財經大學
【學位級別】:碩士
【學位授予年份】:2007
【分類號】:R197.1

【引證文獻】

相關期刊論文 前1條

1 譚琳琳;田慶豐;侯準科;李媛;張魯豫;肖建霞;;新型農村合作醫(yī)療籌資成本影響因素分析[J];中國衛(wèi)生事業(yè)管理;2012年07期

相關碩士學位論文 前3條

1 溫斯斯;武陟縣新型農村合作醫(yī)療籌資成本及影響因素分析[D];鄭州大學;2011年

2 趙慧媛;山西省城鎮(zhèn)居民基本醫(yī)療保險籌資研究[D];山西財經大學;2010年

3 洪霞;遼寧省新型農村合作醫(yī)療籌資水平研究[D];遼寧大學;2012年

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