【作者】 初晓辉；

【导师】 吕伟俊；

【作者基本信息】 山东大学 ， 中国近现代史， 2008， 硕士

【摘要】 新型农村合作医疗制度是近年来我国为农民提供健康保障的一项重要政策措施,自2003年开始实施以来,针对中共中央、国务院在解决“三农”问题、构建和谐社会背景下出台的重大惠农政策,形成了大量研究文章。但这些研究成果大多侧重于理论及宏观层面上。作为第一批试点市之一,威海市在开展新型农村合作医疗方面做了大量工作,取得了一定成效,新型农村合作医疗制度已经成为当地农民重要的医疗保障手段,受到广大农民和社会各界的广泛关注。本文试从微观上对威海市新型农村合作医疗制度开展情况进行研究探讨,并提出相应的政策建议,以期对新型农村合作医疗制度的进一步发展起到一定的启示、促进作用。第一部分:前言。这一部分主要介绍了论文写作意义、学术史回顾、论文写作方法及论文创新之处。第二部分:农村合作医疗制度的历史沿革。这一部分主要介绍了我国农村合作医疗制度及威海市农村合作医疗制度的历史沿革。第三部分:威海市新型农村合作医疗制度的推行。这一部分主要介绍了新型农村合作医疗制度的定义内涵、新型农村合作医疗与原有合作医疗的区别、实施新型农村合作医疗制度的重要意义和现实必要性、威海市的主要做法。第四部分:威海市新型农村合作医疗制度实施成效及存在问题。第五分部分:国外农村医疗保障制度的经验及我国新型农村合作医疗的发展思路。这一部分主要通过对德国和韩国的农民健康保险制度有关情况的介绍和比较,提出了我国新型农村合作医疗制度发展思路,即:进一步优化新型农村合作医疗制度的供给机制,进一步完善新型农村合作医疗制度的管理模式,建立对定点医疗机构的监管新机制,加强对新型农村合作医疗制度需求方的管理。第六部分威海市发展新型农村合作医疗制度的政策建议,即政府支持投入力度应不断加大,合理建好农村预防保健网,科学确定筹资标准与保障水平,确保医药费用开支有度,从整体上提高农村医疗服务水平和质量,提高农民素质,实现农民参与监管制度化、正常化。更多还原

【Abstract】 New rural cooperative medical system is an important piece of policy carried out by the Chinese government in recent years in order to provide health protection for the Chinese farmers. Under the circumstances of the central government’s endeavor to settle the issues concerning agriculture, countryside and farmers and to build a harmonious society, there have been numerous research papers on the new medical system since its implementation in 2003. However, most of the researches focus mainly on the theoretical and macro level. As one of the first batch of experimental cities, Weihai has done a lot of work to ensure a successful implementation of the new rural cooperative medical system and has succeeded in making it a vital measure of protecting the local farmers. The new measure drew a wide attention from both famers and other social sectors. This thesis, combined with Weihai’s experience, tries to analyze China’s new rural cooperative medical system on a microcosmic level and put forward some corresponding suggestions in order to provide a certain degree of inspiration for the further improvement of the new medical system.Part I. Foreword. This part mainly introduces the significance of the thesis, the retrospection of the academic history, the writing skills and the innovation of the thesis.Part II. The History and Evolution of Rural Cooperative Medical System. This part mainly introduces the history and evolution of rural cooperative medical system of China and Weihai.Part III. The Implementation of Weihai’s New Rural Cooperative Medical System. This part mainly introduces the definition of new rural cooperative medical system, the difference between the new rural cooperative medical system and the original cooperative medical system, the importance and necessity of the implementation of the new rural cooperative medical system, and the major practices of Weihai.Part IV. This part introduces the effects and the existing problems of the implementation. Part V. This part is mainly about the Rural Medical Insurance Systems of some other countries and new thoughts about the development of the New Rural Cooperative Medical System in China. Through comparisons with the similar policies in Germany and Korea, this part puts forward a new type of rural cooperative medical system for China, that is, to further optimize the supply mechanism of the new rural cooperative medical system, to further improve the management pattern of new rural cooperative medical system, to establish a supervisory mechanism of the designated medical institutions, to strengthen management on the demanders of the new rural cooperative medical system.Part VI. This part recommends some policies for Weihai new rural cooperative medical system, which is, to increase government support and investment, to determine a reasonable level of fund-raising and insurance standards, to strictly control the medical expenses, to establish rural disease prevention and health care network, to increase the rural medical service quality, and to educate the farmers and make them taking part in supervision.更多还原