我国农村合作医疗制度的历史演进与改革创新-研究

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1、万方数据AbstractThecooperativemedicalsystemisaruralmedicalsecuritysystemwithChinesecharacteristics，whichhasplayedallextremelyimportantroletoensurethebroadmassesofpeasantstogetbasichealthservicesandavoidthe”povertyduetoillness"problem．Atpresent，theChinesenewcooperativeme

2、dicalsystemreformationisadvancingindepth，whichhasmadesomeachievementsandexperienceattheearlierstage．Buttherearestillmanyproblemstobesolved：(1)Theruralcooperativemedicalsystemitselfisnotperfect，includingthefundraising，thecompensation，thesupervisionoffundsandtheruralf

3、loatingpopulation’Smedicalsecurityetc．(2)Theresponsiblepartydoesnotfunctionproperly,anditsbehaviorisnotstandard．Suchas，thegovernment’Spublicityandsupervisionisnotenough；thepeasantwillingnesstoparticipateisnotstrong；thedesignatedmedicalinstitutioninducestheunnecessar

4、ymedicalneeds，anditstreatmentisalsonotstandard．(3)Intheexternalenvironment，therearealsosomefactorswhicharenotconducivetothedevelopmentofthenewruralcooperativemedicalsystem．Suchas，thetraditionalfamilyrisksharingmechanismrestrictsthedevelopmentofthenewruralcooperative

5、medicalsystem，therapidgrowthofmedicalexpendituresthreatentheoverallfundsecurityofthenewruralcooperationmedicalsystem．Therefore，onlybasedonthein—depthanalysisabouttheevolutionprocess，theprofoundsummaryoftheexperienceandlessons，wecanputforwardtoensuretheeffectiveappro

6、achesandcountermeasuresofthenewruralcooperativemedicalIII万方数据systemtorealizesustainabledevelopment．ThispaperdescribestheevolutionofChineseruralcooperativemedicalcarefirstly，thenfocusesonthemaincharacteristics，operationstatusandexistingproblemsofthenewcooperativemedi

7、calsystem．ThispaperfinallydiscussesthereformationstopromotethesustmnedandhealthydevelopmentofthenewruralcooperativemedicalinChina．(1)Continuouslyimprovethescientificdesignofthenewruralcooperativemedicalsystem．Suchas，establishesastable，long-termfundingmechanism，perfe

8、ctsthescientificandreasonablecompensationmechanismandconstructstheremotesecuritymedicalfortheruralfloatingpopulation；(2)Continuouslystreng