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。
目 录
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
论 文
附 录 ········································································ 38
注 释 ········································································ 40
文献