【摘要】：新型農(nóng)村合作醫(yī)療直接關(guān)系到我國幾億農(nóng)民的健康和利益,是醫(yī)療體制改革的重要組成部分,是中央為解決“三農(nóng)”問題而做出的重大決策,對于落實(shí)科學(xué)發(fā)展觀,促進(jìn)城鄉(xiāng)協(xié)調(diào)發(fā)展,建設(shè)小康社會,具有十分重要的意義。基金的運(yùn)行安全是合作醫(yī)療制度運(yùn)行的基礎(chǔ),如果合作醫(yī)療基金的運(yùn)行安全得不到保障,必然會影響合作醫(yī)療制度的實(shí)施,影響黨和政府在人民群眾心目中的形象。如何確保合作醫(yī)療基金籌集管理使用的安全、建立合作醫(yī)療基金安全運(yùn)行機(jī)制是一項(xiàng)關(guān)系國家穩(wěn)定、社會和諧的大事。 該文主要從現(xiàn)行的新農(nóng)合基金籌集使用管理的現(xiàn)狀入手,采用理論與實(shí)證相結(jié)合、定性定量分析法,制度分析法,通過對青島市新農(nóng)合實(shí)施現(xiàn)狀的了解以及對相關(guān)數(shù)據(jù)進(jìn)行分析與對比,找出青島市新農(nóng)合在基金運(yùn)行過程中存在的問題并對其進(jìn)行分析,并針對這些問題提出完善青島新農(nóng)合基金運(yùn)行的對策。文章首先對國內(nèi)外農(nóng)村醫(yī)療研究現(xiàn)狀和成果進(jìn)行梳理、分析影響我國新農(nóng)合健康持續(xù)發(fā)展的因素,以及新農(nóng)合基金有效運(yùn)行管理的重要意義和研究背景；然后對我國的新農(nóng)合醫(yī)療的發(fā)展?fàn)顩r進(jìn)行介紹,對我國新農(nóng)合醫(yī)療基金的理論和運(yùn)行機(jī)理做出歸納,包括基金的籌集的標(biāo)準(zhǔn)、籌集的方式、使用政策、管理措施等。然后通過結(jié)合青島市新農(nóng)合的發(fā)展和特點(diǎn),對青島市新農(nóng)合現(xiàn)行狀況的實(shí)證分析,通過對新農(nóng)合基金的籌集、基金的管理、基金的使用三個(gè)方面的理論研究和實(shí)際調(diào)查,運(yùn)用計(jì)算機(jī)審計(jì)、數(shù)據(jù)分析、多維分析等技術(shù)方法,找出青島市新農(nóng)合基金在運(yùn)行實(shí)施的過程中存在的問題,其中重點(diǎn)介紹了審查基金籌集中參合人數(shù)不真造成虛假套取上級資金情況,基金管理中個(gè)人騙取新農(nóng)合和集體套取新農(nóng)合資金的情況；并通過對這些新農(nóng)合基金籌集管理的問題分析,從政策制度層面指出管理的問題成因。最后針對目前新農(nóng)合存在的問題提出新型農(nóng)村合作醫(yī)療基金籌集管理、提高使用效益的對策,主要從組織領(lǐng)導(dǎo)、基金籌集保障、基金運(yùn)行監(jiān)督、優(yōu)化補(bǔ)償機(jī)制和健全法律法規(guī)等幾個(gè)層面提出科學(xué)的針對性建議,建立符合青島本地特色的合作醫(yī)療資金安全運(yùn)行機(jī)制,促進(jìn)制度的可持續(xù)發(fā)展和本地區(qū)新農(nóng)村建設(shè),以維護(hù)農(nóng)民切身利益。
[Abstract]:The new rural cooperative medical system is directly related to the health and interests of hundreds of millions of peasants in our country, is an important part of the reform of the medical system, is an important decision made by the central government to solve the "three rural" problems, and is of great importance to the implementation of the scientific concept of development. It is of great significance to promote the coordinated development of urban and rural areas and build a well-off society. The operation security of the fund is the foundation of the operation of the cooperative medical system. If the operation security of the cooperative medical fund is not guaranteed, it will inevitably affect the implementation of the cooperative medical system and the image of the Party and the government in the eyes of the people. How to ensure the safety of the cooperative medical fund and how to establish the safe operation mechanism of the cooperative medical fund is an important matter related to the stability of the country and the harmony of the society. This article mainly starts with the present situation of the fund raising and using management, adopts the combination of theory and demonstration, qualitative and quantitative analysis, institutional analysis, and so on. Through the understanding of the current situation of the implementation of the new agricultural cooperation in Qingdao and the analysis and comparison of the relevant data, this paper finds out the problems existing in the operation of the fund and analyzes the problems in the fund operation of the new agricultural cooperation in Qingdao. And to solve these problems, the countermeasures to improve the operation of Qingdao New Agricultural Cooperation Fund are put forward. Firstly, the paper combs the current situation and achievements of rural medical research at home and abroad, analyzes the factors affecting the healthy and sustainable development of NCMS in China, as well as the important significance and research background of the effective operation and management of NCMS; Then it introduces the development of NCMS in our country, summarizes the theory and operation mechanism of NCMS fund in China, including the standard of fund raising, the way of raising fund, the policy of using, the management measure and so on. Then by combining the development and characteristics of the new agricultural cooperation in Qingdao, this paper makes an empirical analysis of the current situation of the new agricultural cooperation in Qingdao, through the theoretical research and practical investigation in three aspects: the raising of the new agricultural cooperation fund, the management of the fund, and the use of the fund. By means of computer audit, data analysis, multi-dimensional analysis and other technical methods, this paper finds out the problems existing in the operation and implementation of the New Agricultural Cooperation Fund in Qingdao. It focuses on the fact that the number of participants in the fund-raising is not really causing the false acquisition of higher-level funds, the individual in the management of the fund defrauded the new agricultural cooperation and collective acquisition of the new agricultural cooperation funds; And through the analysis of these new rural cooperative fund raising management problems, the paper points out the causes of the management problems from the policy system level. Finally, aiming at the problems existing in the new rural cooperative medical system, this paper puts forward the countermeasures of raising and managing the new rural cooperative medical fund and improving the efficiency of use, mainly from the organizational leadership, the guarantee of fund raising, the supervision of fund operation, and so on. In order to promote the sustainable development of the system and the construction of new rural areas in the region, scientific and targeted suggestions have been made on optimizing the compensation mechanism and perfecting laws and regulations, establishing a safe operation mechanism of cooperative medical funds in line with the local characteristics of Qingdao, and promoting the sustainable development of the system. In order to safeguard the vital interests of farmers.
【學(xué)位授予單位】：中國海洋大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：F323.89;F842.684

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