新型农村合作医疗论文

试论我国新型农村合作医疗制度

摘要

新型农村合作医疗制度，简称“新农合”，是指由政府组织、引导、支持，农民自愿参加，个人、集体和政府多方筹资，以大病统筹为主的农民医疗互助共济制度。采取个人缴费、集体扶持和政府资助的方式筹集资金。随着我国经济与社会的不断发展，越来越多的人开始认识到，“三农”问题是关系党和国家全局性的根本问题。

新型农村合作医疗在农村社会事业中的作用举足轻重。研究农村合作医疗问题，有助于我们深刻认识农村合作医疗问题的重要性和复杂性，制定正确的医疗政策，处理好党群关系；有助于我国正确认识农村形势，妥善解决城乡矛盾，努力维护社会的平稳发展，维护国家的稳定和安全。国内外学者已从不同的侧面对合作医疗问题进行了广泛研究，提出了各种观点，取得了许多重要的研究成果。本文在已有研究的基础上，结合当前国内合作医疗现状，论述了新型农村合作医疗制度的涵义，探究了我国当前农村合作医疗制度推行中表现出的新特征，取得的成绩以及出现问题的原因，并对我国农村合作医疗制度的未来提出了一些个人建议。

关键词：新型农村合作医疗, 医疗改革, 筹资

On the construction of new rural cooperative medical system

Abstract

The new rural cooperative medical system, known as "New Rural Cooperative" is a mutual-aid medical treatment system which is based on comprehensive arrangement of serious diseases and is organized by government, attended voluntarily by farmers and multilateral financed by individuals, collectives and government. With the continuous development of economy and society, more and more people began to realize "three rural" issue is the fundamental problem for our party and our country .

The new rural cooperative medical system plays an important role in rural undertakings. Studying on rural cooperative medical problems helps us deeply understand its importance , establish a right health policy and handle the party-masses relationship well; and it also help us understand the situation in rural areas correctly ,resolve the conflicts between urban and rural areas properly, maintain social development and safeguard national stability and security. Domestic and foreign scholars have studied the cooperative medical issues from different aspects and got many important research results. This thesis based on the existed research and combined with the current domestic medical situation discusses its meaning, explores its new features, shows its achievements and the causes of problems. What’s more,some personal recommendations are given to China's rural cooperative medical system.

Keywords: New rural cooperative medical system , medical reform , financing mechanism

目录

一绪论1

（一）研究背景 1

（二）研究意义和目的 2

1 研究意义 2

2 研究目的 2

二概述3

（一）我国农村合作医疗发展历程 3

（二）国外农村医疗保障情况 4

1 免费医疗保障 5

2 商业医疗保险 5

3 社区合作医疗保障 5

4 社会医疗保险 5

三我国新型农村合作医疗发展现状及问题 6

（一）新型农村合作医疗发展现状 6

（二）新型农村合作医疗存在的问题7

1 相关法律法规的缺失7

2 筹资机制不稳定，筹资困难,筹资水平低7

3 制度设计与运行机制不够完善7

4 政府和集体在新型农村合作医疗发展中的地位和作用不明显8

5 宣传力度不够，缺乏农民认同9

四完善我国新型农村合作医疗制度的对策10

（一）国外农村医疗保障制度对我国的启示10

1我国不同地区应根据自身实际，选择不同的农村医疗保障模式 10

2 明确政府职责10

3坚持公办医院或社会医疗保险机构自己办医院为主，以降低医疗保险成本10 （二）我国新型农村合作医疗发展经验11

1 加快农村合作医疗制度法制建设11

2 积极拓展筹资渠道, 建立稳定的筹资机制11

3 完善农村合作医疗制度构建和运行12

4 明确政府在新型农村合作医疗中的定位，增加支持力度13

5 加强宣传教育,提高农村居民参加合作医疗的积极性14

五结论15

致谢16

参考文献17