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醴陵市新型农村合作医疗制度问题研究

【作者】 丁艳香

【导师】 王静;

【作者基本信息】 首都经济贸易大学 , 社会保障, 2011, 硕士

【摘要】 作为农村社会保障体系的重要构成部分,新型农村合作医疗制度不仅关系到农民的健康水平,还关系到农村社会保障体系的完善和发展。本文的研究目的是在看到新型农村合作医疗在取得重大成效的同时,探讨其实施过程中存在的主要问题和原因,并提出解决对策。为清楚认识新型农村合作医疗的实施过程,探索更有针对性的对策解决这些问题,促进新型农村合作医疗的可持续发展,本文从农村居民、医疗机构和地方政府的角度出发,以醴陵市为研究对象,调查该市经济水平落后的乡镇新型农村合作医疗实施情况,采取调查问卷、访谈和文献调查的研究方法。本文通过对当地农民进行问卷调查和访谈,结合文献调查和资料分析,探讨农民、医疗机构和地方政府这三个行为主体在参与新型农村合作医疗运行中采取的行为,以及这些行为对新型农村合作医疗的影响,从而进一步对制约醴陵市新型农村合作医疗运行的问题和原因进行分析和探讨,在这个基础上,根据醴陵市实际情况,有针对性的提出改善醴陵市新型农村合作医疗制度的对策和建议,促进新型农村合作医疗制度的进一步完善和发展,使其能更好的为农民服务,更彻底的解决农民“因病致贫,因病返贫”的问题。

【Abstract】 As an important component of rural social security system, the new-type rural cooperative medical care system is not only related to the health of farmers, but also related to the improvement and development of rural social security system. Purpose of this paper is to probe into the main problems and the causes existing in the implementation process when see the significant achieved, then propose solutions to solve these problems.In order to understand the implementation process of new-type rural cooperative medical care clearly, explore more targeted solutions to address these issues and promote it to be sustainable development, this paper select Liling City as the research object, investigate the implementation of new-type rural cooperative medical care in the economic backwardness villages and towns from three sides, rural residents, medical institutions and local governments, the research methods of this paper include questionnaire, interview, and survey of the literature. Through question and interview local farmers, combined with survey of the literature and data, this paper is to explore which actions these three actors (farmers, medical institutions and local governments) will take when they are involved in the operation of new-type rural cooperative medical care, and what effects new-type rural cooperative medical care will have, then discuss and analyze the problems and causes that restrict the operation of new-type rural cooperative medical care. Based on the actual situation in Liling City, this paper propose measures and suggestions to improve new-type rural cooperative medical care system, and to promote the further improvement and development of new-type rural cooperative medical care system, make it supply better services for farmers, solve the problem "impoverished by hospitalization, fell back into poverty due to illness," more thoroughly.

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