【摘要】：新型農(nóng)村合作醫(yī)療制度自2003年試點、推廣至今已十年有余。這十年里,新農(nóng)合制度的發(fā)展之快大家有目共睹,同時在緩解農(nóng)民因病致貧、因病返貧,以及增強農(nóng)民疾病經(jīng)濟(jì)風(fēng)險防御能力方面也立下了不少功績,其發(fā)展可謂在“速度”與“質(zhì)量”兩方面齊頭并進(jìn)。但盡管如此,隨著我國社會經(jīng)濟(jì)飛速發(fā)展,人們對物質(zhì)文化等各方面需求急速上升,顯然當(dāng)前的新型農(nóng)村合作醫(yī)療制度還不能滿足農(nóng)村居民日益增長的醫(yī)療需求。并且,在農(nóng)村醫(yī)療保障制度發(fā)展的同時,城鎮(zhèn)醫(yī)療保障制度也以更快的速度發(fā)展得愈加完善,城鄉(xiāng)居民間的醫(yī)療保障水平仍然存在較大差距。在此背景下,進(jìn)一步完善新型農(nóng)村合作醫(yī)療制度,實現(xiàn)其可持續(xù)發(fā)展,對促進(jìn)社會公平,縮小城鄉(xiāng)差距,協(xié)調(diào)城鄉(xiāng)發(fā)展,構(gòu)建和諧社會具有重大意義。 本論文的研究目的在于考察新型農(nóng)村合作醫(yī)療制度的實施績效,分析其存在的主要問題,以期為進(jìn)一步完善新農(nóng)合制度做出應(yīng)有貢獻(xiàn)。本文構(gòu)建了以考察新農(nóng)合對農(nóng)民健康、收入及就醫(yī)流向三方面影響的新農(nóng)合制度績效評價框架,采用適用于公共政策績效評估的雙重差分計量模型對這三方面影響進(jìn)行了估計,并對實證結(jié)果進(jìn)行了相應(yīng)分析。最后,結(jié)合實證分析結(jié)果,提出了加快經(jīng)濟(jì)增長,提高農(nóng)民收入；進(jìn)一步完善現(xiàn)行新農(nóng)合制度；加大監(jiān)督力度,確保基金運行效率和安全；以及進(jìn)一步加大投入,改善基層醫(yī)療衛(wèi)生條件等政策建議。
[Abstract]:The new rural cooperative medical system has been popularized for more than ten years since it was piloted in 2003. In the past decade, the rapid development of the new rural cooperative system has been obvious to all, and at the same time, it has also made a lot of achievements in alleviating the poverty caused by illness, returning to poverty because of illness, and enhancing the ability of farmers to defend themselves against disease economic risks. Its development can be described as "speed" and "quality" two aspects go hand in hand. However, with the rapid development of social economy in our country, people's demand for material culture and other aspects is rising rapidly. Obviously, the current new rural cooperative medical system can not meet the growing medical needs of rural residents. Moreover, with the development of rural medical security system, the urban medical security system has also developed more and more perfect at a faster rate, and there is still a big gap in the level of medical security between urban and rural residents. In this context, it is of great significance to further improve the new rural cooperative medical system and realize its sustainable development to promote social equity, narrow the gap between urban and rural areas, coordinate urban and rural development, and build a harmonious society. The purpose of this paper is to investigate the implementation performance of the new rural cooperative medical system and analyze its main problems in order to make due contributions to the further improvement of the new rural cooperative medical system. In this paper, a new rural cooperative system performance evaluation framework is constructed to investigate the effects of NCMS on farmers' health, income and medical flow, and the double difference measurement model suitable for public policy performance evaluation is used to estimate the impact of these three aspects. The empirical results are analyzed accordingly. Finally, combined with the results of empirical analysis, this paper puts forward to speed up economic growth and improve farmers' income; further improve the current new rural cooperative system; strengthen supervision to ensure the efficiency and safety of fund operation; And further increase investment, improve primary medical and health conditions and other policy recommendations.
【學(xué)位授予單位】：湖南農(nóng)業(yè)大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：F323.89;F842.684;R197.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 吳聯(lián)燦;申曙光;;新型農(nóng)村合作醫(yī)療制度對農(nóng)民健康影響的實證研究[J];保險研究;2010年06期

2 徐雅麗;李亞青;吳聯(lián)燦;;新型農(nóng)村合作醫(yī)療緩解因病致貧效果指數(shù)構(gòu)建[J];財經(jīng)科學(xué);2011年10期

3 周旭亮;石紹賓;;新型農(nóng)村合作醫(yī)療費用報銷制度的滿意度分析[J];財經(jīng)論叢;2009年06期

4 中國人民大學(xué)農(nóng)業(yè)與農(nóng)村發(fā)展學(xué)院課題組;;論“能力密集型”合作醫(yī)療制度的“自動運行”機制——中國農(nóng)村基本醫(yī)療保障制度的可持續(xù)發(fā)展[J];管理世界;2005年11期

5 朱信凱;彭廷軍;;新型農(nóng)村合作醫(yī)療中的“逆向選擇”問題:理論研究與實證分析[J];管理世界;2009年01期

6 賀曉娟;陳在余;馬愛霞;;新型農(nóng)村合作醫(yī)療緩解因病致貧的效果分析[J];安徽農(nóng)業(yè)大學(xué)學(xué)報(社會科學(xué)版);2012年05期

7 周賢君;李立清;;新型農(nóng)村合作醫(yī)療制度的公平性述評[J];安徽農(nóng)業(yè)科學(xué);2013年03期

8 趙忠,侯振剛;我國城鎮(zhèn)居民的健康需求與Grossman模型——來自截面數(shù)據(jù)的證據(jù)[J];經(jīng)濟(jì)研究;2005年10期

9 封進(jìn);李珍珍;;中國農(nóng)村醫(yī)療保障制度的補償模式研究[J];經(jīng)濟(jì)研究;2009年04期

10 程令國;張曄;;“新農(nóng)合”:經(jīng)濟(jì)績效還是健康績效?[J];經(jīng)濟(jì)研究;2012年01期

相關(guān)博士學(xué)位論文 前2條

1 李立清;我國新型農(nóng)村合作醫(yī)療制度的經(jīng)濟(jì)學(xué)研究[D];湖南農(nóng)業(yè)大學(xué);2008年

2 曹燕;中國農(nóng)村的公共健康投資問題研究[D];華中科技大學(xué);2010年

，

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