本文選題：新農(nóng)合 + 保險(xiǎn)��； 參考：《江西農(nóng)業(yè)大學(xué)》2017年碩士論文

【摘要】：“看病難、看病貴”的問(wèn)題長(zhǎng)時(shí)間困擾著農(nóng)村居民的生活,致使很多農(nóng)民因病致貧、因病返貧。新型農(nóng)村合作醫(yī)療保險(xiǎn)制度[(16)]在一定程度上幫助農(nóng)民解決就醫(yī)問(wèn)題,緩解農(nóng)民經(jīng)濟(jì)壓力,改善農(nóng)民的體質(zhì)水平,增強(qiáng)農(nóng)民參保意識(shí),為建設(shè)新農(nóng)村提供了制度保障。但是,農(nóng)村經(jīng)濟(jì)的改變以及新農(nóng)合制度本身存在的問(wèn)題和不足,致使制度在實(shí)施過(guò)程中受到了制約�，F(xiàn)階段,如何提高新型農(nóng)村合作醫(yī)療保險(xiǎn)制度的可操作性以及如何保障農(nóng)民充分地享有醫(yī)療保障權(quán)利,已成為政府和學(xué)術(shù)界共同關(guān)注的重大現(xiàn)實(shí)問(wèn)題。為促進(jìn)新型農(nóng)村合作醫(yī)療保險(xiǎn)制度長(zhǎng)效穩(wěn)定的發(fā)展,使政府在解決農(nóng)村醫(yī)療問(wèn)題上有據(jù)可循。本文將XX鎮(zhèn)新型農(nóng)村合作醫(yī)療的實(shí)施情況作為研究對(duì)象,通過(guò)閱讀文獻(xiàn)資料,以社會(huì)保障理論和政府干預(yù)理論作為理論依據(jù),對(duì)新型農(nóng)村合作醫(yī)療保險(xiǎn)制度的特點(diǎn)以及發(fā)展歷程進(jìn)行系統(tǒng)的闡述;然后對(duì)XX鎮(zhèn)近幾年參保、籌資、補(bǔ)償?shù)惹闆r進(jìn)行一個(gè)定量、定性的統(tǒng)計(jì)分析;再根據(jù)問(wèn)卷調(diào)查,對(duì)調(diào)查對(duì)象、農(nóng)民參保動(dòng)機(jī)、政策認(rèn)知度及滿(mǎn)意度、醫(yī)療機(jī)構(gòu)進(jìn)行綜合的分析,梳理出XX鎮(zhèn)新型農(nóng)村合作醫(yī)療實(shí)施過(guò)程中存在的問(wèn)題。農(nóng)民方面:參合意識(shí)較弱,缺乏制度認(rèn)同感,參保信心受挫;政府方面:宣傳不到位,籌資機(jī)制不穩(wěn)定;醫(yī)療機(jī)構(gòu)方面:基層醫(yī)療機(jī)構(gòu)服務(wù)水平低,定點(diǎn)醫(yī)療機(jī)構(gòu)行為失范,醫(yī)療機(jī)構(gòu)信息化程度不高等。針對(duì)這些問(wèn)題,本文結(jié)合當(dāng)前農(nóng)民的就醫(yī)情況,借鑒國(guó)外醫(yī)療保險(xiǎn)模式的有效做法,提出了以下幾點(diǎn)政策建議。首先要更新農(nóng)民參保觀念,增強(qiáng)參保意識(shí);提高農(nóng)民對(duì)制度的認(rèn)知水平,提升參合信心;再加大政府扶持力度,采取多渠道的宣傳方式,加強(qiáng)制度的宣傳;建立科學(xué)穩(wěn)定的籌資機(jī)制;最后完善基層衛(wèi)生配套體系建設(shè),提高服務(wù)水平;加大監(jiān)督力度,規(guī)范醫(yī)療機(jī)構(gòu)服務(wù)行為。
[Abstract]:The problem of "difficult to see a doctor, expensive to see a doctor" has puzzled the life of rural residents for a long time, causing many farmers to become poor and return to poverty because of illness. The new rural cooperative medical insurance system to a certain extent helps farmers to solve the problem of seeking medical treatment, alleviate the economic pressure of farmers, improve their physique level, enhance their consciousness of participating in insurance, and provide system guarantee for the construction of new countryside. However, the change of rural economy and the problems and shortcomings of the NCMS system make the system restricted in the process of implementation. At the present stage, how to improve the operability of the new rural cooperative medical insurance system and how to ensure the farmers to fully enjoy the right to medical security have become a major practical issue that the government and academia have paid attention to. In order to promote the long-term and stable development of the new rural cooperative medical insurance system, the government can follow in solving the rural medical problems. This article regards the implementation of the new rural cooperative medical system in XX town as the research object, through reading the literature, taking the social security theory and the government intervention theory as the theoretical basis. The characteristics of the new rural cooperative medical insurance system and the development of the process are systematically described; then XX town in recent years to participate in the insurance, financing, compensation and other circumstances of a quantitative, qualitative statistical analysis; and then according to the questionnaire survey, The investigation object, farmers' insurance motive, policy recognition and satisfaction degree, medical institutions were analyzed synthetically, and the existing problems in the implementation of the new rural cooperative medical system in XX town were sorted out. Farmers: weak sense of participation, lack of system identity, frustrated confidence in participating in insurance; government: propaganda is not in place, funding mechanism is unstable; medical institutions: the level of primary medical institutions is low, the behavior of designated medical institutions is out of order, The level of informationization of medical institutions is not high. In view of these problems, this article combines the current situation of farmers' medical treatment, draws lessons from the effective practice of foreign medical insurance mode, and puts forward the following policy suggestions. First of all, we should renew the farmers' idea of participating in the insurance, enhance the consciousness of participating in the insurance, improve the farmers' cognition level of the system, enhance the confidence of participating in the insurance, then increase the government support, adopt the multi-channel propaganda method, and strengthen the propaganda of the system. Establish a scientific and stable financing mechanism; finally improve the basic level of health supporting system construction and improve the level of service; strengthen supervision to standardize the service behavior of medical institutions.
【學(xué)位授予單位】：江西農(nóng)業(yè)大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：F842.684;F323.89;R197.1

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