【作者】 施阳丹；

【导师】 吴中宇；

【作者基本信息】 华中科技大学 ， 社会保障， 2007， 硕士

【摘要】 农村合作医疗制度曾经作为我国农村的医疗保健制度在满足农民的基本医疗需求、减轻农民的医疗负担方面发挥过重要的作用。合作医疗制度、县乡村三级卫生服务网络、乡村医生队伍这三大法宝曾经作为发展中国家在资源短缺的情况下成功解决农村医疗卫生问题的典范在全世界范围内推广。但随着时代的变迁和社会的发展,农村合作医疗逐渐走向了衰落,农民又成了几乎没有任何医疗保障的群体。进入二十一世纪后,农民医疗保障需求的呼声越来越高,国家开始推行新型农村合作医疗制度,并进行着新的探索。建立新型农村合作医疗制度及其可持续发展机制,对于我国社会主义新农村建设和实现城乡社会统筹发展都具有重要意义。本文首先对农村合作医疗的理论进行了概括,为后文的写作奠定了理论基础。其次论述了建立新型农村合作医疗制度的重要性,并归纳了新型农村合作医疗制度的内容和特点。然后介绍了湖北省长阳县新农合制度试点工作的推开过程和日常运行,总结了新农合试点工作产生的积极影响,分析了新农合在试点过程中遇到的困难和问题,并从可持续发展的角度分析了新农合在制度设计和实施方案等方面有待完善的地方。再次分析了传统合作医疗制度发展历程给我们的启示,并在此基础上提出了促进新农合可持续发展的政策建议。文章最后对前面的内容进行了总结并对新农合制度的未来发展方向进行了前瞻性的思考。更多还原

【Abstract】 As the Medical-care System in rural China, the Rural Cooperative Medical-care System (the RCMS) had played the vital role in meeting the rural inhabitants’ basic medical needs and reducing the rural inhabitants’ burden of medical services. The RCMS, the net of medical service and the village doctor are the three key point to resolve the problems of peasants’ medical and health successfully, and it was a miracle the developing country can do this under such a shortage of resources situation, and this typical experience was promoted in the world scope. But along with the changing times and social development, The RCMS was gradually moving toward decline, as a result, the rural inhabitants’ had changed to a community without any medical safeguard again. After entering to the 21st century, the demand of the peasants’ medical security is increasing, so the State began implementing the New Pattern of Rural Cooperative Medical-care System (the NPRCMS). The establishment of the NRCMS and its sustainable development mechanism is important for the construction of socialistic new country and the realization of proper balance between rural and urban development.This article first has carried on the summary to theory, which has laid the rationale for following article writing. Next the paper elaborates the importance of the establishment of the NPRCMS, and then induces the contents and the characteristics about the NPRCMS. Then the article describes the popularized process and the daily movement of the NPRCMS in Changyang in Hubei Province, reviews the positive impact of the system and analyses the main problems that exposing in the period of the system execution, then, studies where is to be consummated in the system design and the programs of the NPRCMS. After that the paper analyzes the enlightenment form the development of the traditional cooperative medical-care system, proposes the policy suggestions on promoting the sustainable development of the NPRCMS systematically. Finally the article has carried on the summary to the front content, and predicted the development tendency of the NPRCMS.更多还原