我国新型农村合作医疗制度建设研究

我国新型农村合作医疗制度建设研究

XCLW101079 我国新型农村合作医疗制度建设研究

内容摘要

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。而不解决好农民的医疗合作问题，就无法实现全面建设小康社会

的目际，也谈不上现代化社会的完全建立。

党的十七大把“人人享有基本医疗卫生服务” 确立为全面建设小康社会的重

要目标之一，提出建立基本医疗卫生制度和努力使全体人民“病有所医” 新的重

大任务，全面推进新型农村合作医疗制度建设。

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。

中文摘要 ······································································I

Abstract ······················································· III

前言 ························································· 1

一、选题意义 ········································································ 1

二、研究现状 ·········································································· 1

三、基本框架与创新之处 ·················································· 2

四、研究思路和方法 ······················································· 2

一、我国建立新型农村合作医疗制度的重要性 ······································· 3

（一）我国医疗体制改革带来的问题 ······································ 4

（二）新农合之前的农村卫生状况 ········································ 5

（三）我国建立新农合的必要性 ········································· 8

二、我国建设新农合的基本框架 ··························································· 11

（二）基本特征 ······························································ 17

（三）基本原则 ·························································· 19

三、我国新农合试点现状与问题 ·········································· 21

（一）概况 ······················································ 21

（二）筹资 ························································ 24

（三）管理 ·················································· 25

（四）补偿 ········································································· 28

（五）医药配套 ······························································· 29

四、深化我国新农合改革的途径 ············································· 30

（一）把握体系关系 ················································ 31

（二）完善制度构建 ························································· 32

（三）提高保障水平 ··························································· 34

（四）加强管理与宣传 ··············································· 36

（五）加快立法步伐 ········································ 37

论文

附录 ········································································ 38

注释 ········································································ 40

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