寧波市新型農村醫療合作制度的實施現狀及改進政策

摘    要

   

新型農村合作醫療制度（以下簡稱新農合）是我國為解決農村居民看病就醫、醫藥費用問題而建立的一項基本醫療保障制度，這一制度的實施給農民帶來了實惠，一定程度上減輕了農民的經濟負擔。在具體實施過程中，迫切需要了解新農合政策是否滿足農民需求，能否健康、可持續發展，在實施過程中存在哪些問題。本文借鑒國內文獻資料，在了解寧波市新型農村醫療合作制度實施現狀的基礎上，針對寧波市新農合醫療制度運行過程中存在的問題進行了分析并提出一些建議與對策，以期對寧波市新農合政策的實施及調整提供借鑒。

  The new-type rural cooperative medical care system in China is to resolve the rural residents medical treatment, medical costs and the establishment of a basic medical insurance system, the implementation of this system has brought tangible benefits to farmers, to some extent alleviate the financial burden of them. In the specific implementation process, the urgent need to understand the new rural cooperative medical care policy is to meet the farmers needs, whether health, sustainable development, in the implementation of what problems exist in the process. This paper reference literature at home, In the understanding of Ningbo new rural cooperative medical system implementation present situation foundation, the paper analyzed and advanced some measures and suggestions for the city of Ningbo new rural cooperative medical system in the running process of the existing problems, which provided a reference in new rural cooperative medical policy and adjustment.

關鍵詞：新型農村合作醫療制度；寧波；實施現狀；改進對策

  

Keyword: New-type rural cooperative medical care system; Ningbo; Implementation of Current Situation; Countermeasures

目    錄

1. 引言4

2．我市新型農村合作醫療制度實施現狀5

2.1 工作總體進展情況5

2.2  主要做法和基本經驗5

2.2.1 政府高度重視5

2.2.2 享受即時結算報銷5

2.2.3 不斷推出便民醫療舉措5

3．我市新型農村合作醫療制度實施中存在的主要問題6

3.1 農民的參保意識不夠強6

3.2 籌集資金困難6

3.3 基層醫療衛生機構救助醫療能力有待提高7

3.4 監督管理機制還不夠完善7

3.5 新農合制度受益面有待擴大7

3.6 信息化管理程度還不夠高8

4．完善我市新型農村合作醫療制度的對策建議8

4.1 做好對農民的宣傳和引導工作8

4.2 建立穩定增長的籌資機制8

4.3 加強基層醫療衛生機構救助醫療能力8

4.4 強化基金監管9

4.5提升新農合醫療保障的受益程度9

4.6 提高信息化管理水平9

4.6.1加快推進農村醫療衛生網絡基礎設施建設9

4.6.2 積極推進遠程會診和遠程培訓10

4.6.3建立多方聯動的信息化發展機制10

5. 結論10

參考文獻11

致謝12