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新型农村合作医疗制度问题分析及对策建议—以红河州石屏县为例
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摘要
农村合作医疗是由中国农民独创的互助共济的医疗保障制度。自新农合实施以来已取得明显的效果。以云南省石屏县为例,在新型农村合作医疗制度不断推进中,还存在着一些较为突出问题:政策宣传不够深入;医疗补偿水平偏低;医疗监督管理不够科学规范;立法滞后,政策不过硬;缺乏合理的人才机制;乡村卫生院(室)医疗条件较差等等。因此,为完善石屏县新型农村合作医疗制度不足,各级政府应从以下几个方面着手:加大宣传教育力度,提高农民参加新型农村合作医疗的积极性;建立科学、合理的医疗资金筹集机制;强化新型农村合作医疗监管,提高管理效率;加快相关立法,确保新型农村医疗保障制度政策的稳定性;加强新型农村合作医疗基层卫生人才的建设;加大农村卫生资源投入,提高对农村居民的卫生服务。
关键词:新型农村合作医疗;问题;对策
ABSTRACT
Rural cooperative medical care system is by the Chinese farmers' original help each other in all aid medical security system. Since the implementation of new
farmers and obtained obvious effect. Shi Bingxian in yunnan province as an example, in advancing the new rural cooperative medical system, there are some of the more prominent problems: policy propaganda is not enough in-depth; Medical
compensation level is low; Medical supervision is not enough scientific and standardized management; Legislation lag, the policy is not perfect; Lack of reasonable personnel mechanism; Village clinics (room) poor medical conditions, and so on. Therefore, in order to improve the Shi Bingxian new type of rural cooperative medical care system is insufficient, government at all levels should from the following several aspects: strengthening propaganda and education, improve the enthusiasm of farmers to participate in the new rural cooperative medical care; Establish a scientific, reasonable medical fund raising mechanism; Strengthening the new rural cooperative medical supervision and improve the efficiency of management; To speed up the legislation, ensure the stability of the new policy of rural medic