本文選題：泰國(guó)30銖醫(yī)療計(jì)劃　切入點(diǎn)：新型農(nóng)村合作醫(yī)療制度　出處：《山東大學(xué)》2013年碩士論文　論文類(lèi)型：學(xué)位論文

【摘要】：泰國(guó)總?cè)丝?400萬(wàn),農(nóng)村人口約占70%。泰國(guó)和中國(guó)都是發(fā)展中國(guó)家,兩國(guó)在經(jīng)濟(jì)發(fā)展水平和人口結(jié)構(gòu)方面有很多相似之處。泰國(guó)在2001年建立起了全民醫(yī)療保險(xiǎn)制度,其中的30銖醫(yī)療計(jì)劃就覆蓋了全國(guó)75%的人口,其中農(nóng)民占70%(張祿生等,2009)。泰國(guó)通過(guò)30銖醫(yī)療計(jì)劃實(shí)現(xiàn)了人人享有醫(yī)療保障的目標(biāo),該政策對(duì)中國(guó)的醫(yī)療保險(xiǎn)改革有借鑒和啟示作用。中國(guó)農(nóng)村實(shí)行的是新型農(nóng)村合作醫(yī)療制度，，經(jīng)過(guò)了多年的實(shí)施和改革,已經(jīng)覆蓋了大部分的農(nóng)村人口。作為醫(yī)療保險(xiǎn)的一個(gè)重要的組成部分,新農(nóng)合制度面臨著巨大的挑戰(zhàn),新農(nóng)合已經(jīng)成為中國(guó)醫(yī)療改革的重點(diǎn),是當(dāng)今中國(guó)政府和社會(huì)最為關(guān)注的問(wèn)題之一。完善新農(nóng)合制度,實(shí)現(xiàn)政策的可持續(xù)發(fā)展,不僅是中國(guó)農(nóng)村社會(huì)醫(yī)療保險(xiǎn)事業(yè)發(fā)展的迫切需要,更直接關(guān)系到中國(guó)改革、發(fā)展、穩(wěn)定的大局,影響到經(jīng)濟(jì)的發(fā)展以及社會(huì)的穩(wěn)定與和諧。 本文通過(guò)綜合分析泰國(guó)30銖醫(yī)療計(jì)劃的實(shí)施背景、條件、具體措施、影響等,并對(duì)比泰國(guó)30銖醫(yī)療計(jì)劃和中國(guó)新農(nóng)合制度,借鑒泰國(guó)30銖醫(yī)療計(jì)劃的成功經(jīng)驗(yàn),結(jié)合中國(guó)具體國(guó)情,對(duì)新農(nóng)合制度的進(jìn)一步改革與完善提出建議,同時(shí)總結(jié)泰國(guó)30銖醫(yī)療計(jì)劃在推行過(guò)程中出現(xiàn)的問(wèn)題和走過(guò)的彎路,以免在中國(guó)新農(nóng)合制度改革與實(shí)踐中重蹈覆轍。本文主要分為五個(gè)部分：第一部分,緒論,涉及選題緣起和選題意義、國(guó)內(nèi)外文獻(xiàn)綜述、理論背景、概念界定和研究方法；第二部分,主要介紹泰國(guó)30銖醫(yī)療計(jì)劃的實(shí)施背景、條件及舉措。包括30銖醫(yī)療計(jì)劃實(shí)施前的醫(yī)療服務(wù)機(jī)構(gòu)情況,醫(yī)療保險(xiǎn)情況,實(shí)施的有利條件,泰國(guó)政府在實(shí)施30銖醫(yī)療計(jì)劃過(guò)程中的舉措；第三部分,30銖醫(yī)療計(jì)劃的實(shí)際運(yùn)行狀況及影響；第四部分,從各個(gè)方面將泰國(guó)30銖醫(yī)療計(jì)劃和中國(guó)的新農(nóng)合進(jìn)行對(duì)比,吸取經(jīng)驗(yàn),總結(jié)教訓(xùn)。筆者在泰國(guó)素叻塔尼市選擇了20位訪談對(duì)象,利用個(gè)案訪談的方法收集定性資料,訪談內(nèi)容主要包括訪談對(duì)象對(duì)于30銖醫(yī)療計(jì)劃的了解程度、參與程度、利用度和滿意度等幾個(gè)方面,并將所收集資料進(jìn)行定性分析,以期了解30銖醫(yī)療計(jì)劃的具體實(shí)施情況,實(shí)施過(guò)程中政策的變動(dòng)情況以及服務(wù)對(duì)象對(duì)該政策的回饋；第五部分,通過(guò)對(duì)30銖醫(yī)療計(jì)劃的分析,結(jié)合中國(guó)新農(nóng)合目前的具體問(wèn)題,對(duì)完善新農(nóng)合制度提出對(duì)策建議。泰國(guó)30銖醫(yī)療計(jì)劃對(duì)中國(guó)新農(nóng)合制度有重要的借鑒作用,新農(nóng)合應(yīng)從降低成本入手,規(guī)范藥品目錄,改革支付方式控制醫(yī)療費(fèi)用,并在此基礎(chǔ)上進(jìn)一步加大財(cái)政投入逐步提高保障水平。
[Abstract]:Thailand has a total population of 64 million and rural population accounts for about 70 percent. Both Thailand and China are developing countries, and there are many similarities between the two countries in terms of economic development level and population structure. In 2001, Thailand established a universal medical insurance system. The 30-baht medical plan covers 75% of the country's population, of which 70 are farmers. (Zhang Lusheng, et al.) Thailand has achieved the goal of universal access to health care through the 30-baht medical plan. The policy can be used for reference and enlightenments in China's medical insurance reform. China's rural areas have implemented a new type of rural cooperative medical care system, which has been implemented and reformed for many years. It has covered most of the rural population. As an important part of medical insurance, the new rural cooperative cooperation system is facing enormous challenges, and the new rural cooperative cooperation has become the focus of China's health care reform. It is one of the issues that the Chinese government and society are most concerned about. Perfecting the new agricultural cooperation system and realizing the sustainable development of policies are not only the urgent needs of the development of China's rural social medical insurance, but also have a direct bearing on the reform and development of China. Stable overall situation, affect the economic development and social stability and harmony. Through comprehensive analysis of the implementation background, conditions, specific measures and impact of Thailand's 30-baht medical plan, this paper compares Thailand's 30-baht medical plan with China's new rural cooperative system, and draws lessons from the successful experience of Thailand's 30-baht medical plan. In light of the specific conditions of China, this paper puts forward some suggestions for the further reform and improvement of the new rural cooperative system, and summarizes the problems and detours in the implementation of Thailand's 30-baht medical plan. This paper is divided into five parts: the first part, the introduction, the origin and significance of the topic, the literature review at home and abroad, the theoretical background, the definition of the concept and research methods; The second part mainly introduces the implementation background, conditions and measures of Thailand's 30-baht medical plan, including the situation of medical service institutions before the implementation of the 30-baht medical plan, the medical insurance situation, and the favorable conditions for its implementation. The initiatives of the Thai Government in the implementation of the 30-baht medical plan; the third part, the actual operation and impact of the 30-baht medical plan; and the 4th part, which compares Thailand's 30-baht medical plan with China's New Rural Cooperation from various aspects and draws on the experience, Summary of lessons. The author selected 20 interview subjects in Suratani city, Thailand, using the method of case interviews to collect qualitative data. The content of the interviews mainly includes the participants' understanding of the 30 baht medical plan and the degree of participation. Use degree and satisfaction degree and so on several aspects, and will collect the data to carry on the qualitative analysis, in order to understand the 30 baht medical plan concrete implementation situation, the implementation process policy change situation and the service object to this policy feedback; 5th part, Through the analysis of 30 baht medical plan, combined with the current concrete problems of China's New Rural Cooperation, the paper puts forward some countermeasures and suggestions to perfect the new rural cooperative system. The 30 baht medical plan of Thailand has important reference function to the new rural cooperative system of China. NCMS should start with reducing the cost, standardize the drug catalogue, reform the payment method to control the medical expenses, and on this basis, further increase the financial input and gradually raise the level of guarantee.
【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類(lèi)號(hào)】：F843.36;F323.89;F842.684;R197.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 王宇;;借鑒東盟國(guó)家經(jīng)驗(yàn) 提高我國(guó)農(nóng)民健康保障水平[J];東南亞縱橫;2006年06期

2 董喻婷;楊雪敏;;基于世界各國(guó)醫(yī)改比較對(duì)中國(guó)醫(yī)改現(xiàn)狀SWOT分析[J];法制與社會(huì);2011年15期

3 賈永成;李冰;;從泰國(guó)看我國(guó)的醫(yī)療保險(xiǎn)改革[J];管理觀察;2008年11期

4 張琳;泰國(guó)健康卡制度的籌資改革[J];國(guó)外醫(yī)學(xué)(衛(wèi)生經(jīng)濟(jì)分冊(cè));2001年04期

5 程令國(guó);張曄;;“新農(nóng)合”:經(jīng)濟(jì)績(jī)效還是健康績(jī)效?[J];經(jīng)濟(jì)研究;2012年01期

6 代志明,何洋;國(guó)外農(nóng)村醫(yī)療保障制度的解讀與借鑒[J];經(jīng)濟(jì)縱橫;2005年02期

7 呂世辰;李華;;社會(huì)醫(yī)療保險(xiǎn):新農(nóng)合的發(fā)展取向[J];理論探索;2011年02期

8 鄭志博;劉子云;張雨京;;關(guān)于新農(nóng)合現(xiàn)實(shí)問(wèn)題的分析及意見(jiàn)[J];中國(guó)市場(chǎng);2010年52期

9 張奎力;;泰國(guó)農(nóng)村醫(yī)療衛(wèi)生體制及其啟示[J];社會(huì)主義研究;2010年03期

10 趙要軍;王祿生;;中國(guó)、美國(guó)、泰國(guó)三國(guó)醫(yī)療保險(xiǎn)制度比較分析[J];中國(guó)衛(wèi)生經(jīng)濟(jì);2009年11期

相關(guān)碩士學(xué)位論文 前2條

1 譚卉;新農(nóng)合實(shí)施中的供需矛盾及其解決方案研究[D];蘇州大學(xué);2012年

2 朱諾;新農(nóng)合對(duì)農(nóng)村居民住院擇醫(yī)行為影響的實(shí)證研究[D];南京中醫(yī)藥大學(xué);2012年

本文編號(hào)：1616183