本文選題：新農(nóng)合 + 保險��； 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”的問題長時間困擾著農(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)療保險制度[(16)]在一定程度上幫助農(nóng)民解決就醫(yī)問題,緩解農(nóng)民經(jīng)濟壓力,改善農(nóng)民的體質(zhì)水平,增強農(nóng)民參保意識,為建設(shè)新農(nóng)村提供了制度保障。但是,農(nóng)村經(jīng)濟的改變以及新農(nóng)合制度本身存在的問題和不足,致使制度在實施過程中受到了制約�，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)實問題。為促進新型農(nóng)村合作醫(yī)療保險制度長效穩(wěn)定的發(fā)展,使政府在解決農(nóng)村醫(yī)療問題上有據(jù)可循。本文將XX鎮(zhèn)新型農(nóng)村合作醫(yī)療的實施情況作為研究對象,通過閱讀文獻資料,以社會保障理論和政府干預(yù)理論作為理論依據(jù),對新型農(nóng)村合作醫(yī)療保險制度的特點以及發(fā)展歷程進行系統(tǒng)的闡述;然后對XX鎮(zhèn)近幾年參保、籌資、補償?shù)惹闆r進行一個定量、定性的統(tǒng)計分析;再根據(jù)問卷調(diào)查,對調(diào)查對象、農(nóng)民參保動機、政策認知度及滿意度、醫(yī)療機構(gòu)進行綜合的分析,梳理出XX鎮(zhèn)新型農(nóng)村合作醫(yī)療實施過程中存在的問題。農(nóng)民方面:參合意識較弱,缺乏制度認同感,參保信心受挫;政府方面:宣傳不到位,籌資機制不穩(wěn)定;醫(yī)療機構(gòu)方面:基層醫(yī)療機構(gòu)服務(wù)水平低,定點醫(yī)療機構(gòu)行為失范,醫(yī)療機構(gòu)信息化程度不高等。針對這些問題,本文結(jié)合當前農(nóng)民的就醫(yī)情況,借鑒國外醫(yī)療保險模式的有效做法,提出了以下幾點政策建議。首先要更新農(nóng)民參保觀念,增強參保意識;提高農(nóng)民對制度的認知水平,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,加強制度的宣傳;建立科學(xué)穩(wěn)定的籌資機制;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)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：F842.684;F323.89;R197.1

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