本文選題：新農(nóng)合 + 看病難��； 參考：《西華大學》2013年碩士論文

【摘要】：我國新型農(nóng)村合作醫(yī)療保險制度簡稱“新農(nóng)合”,它是在完善社會主義市場經(jīng)濟體制的過程中建立起來的一種新型的農(nóng)村公共醫(yī)療衛(wèi)生服務(wù)制度。隨著社會主義市場經(jīng)濟體制的建立,原有的農(nóng)村合作醫(yī)療制度就發(fā)展為新型農(nóng)村合作醫(yī)療保險制度。 中共中央在1993年的《關(guān)于建設(shè)社會主義市場經(jīng)濟體制若干問題的決定》中,提出了要發(fā)展和完善農(nóng)村合作醫(yī)療制度。在1994年開始了探索建立城鎮(zhèn)職工基本醫(yī)療保險制度,國家先后啟動城鎮(zhèn)職工基本醫(yī)療制度改革和城鎮(zhèn)醫(yī)療衛(wèi)生體制改革。1996年,黨中央、國務(wù)院召開了新中國成立以來的第一次全國衛(wèi)生大會,做出了關(guān)于衛(wèi)生改革與發(fā)展的決定,從此,我國加快了醫(yī)療衛(wèi)生體制改革的步伐。2002年10月29日,中共中央《關(guān)于進一步加強農(nóng)村衛(wèi)生工作的決定》,首次提出了建立“新型農(nóng)村合作醫(yī)療”的概念。2006年10月,黨的十六屆六中全會通過的《中共中央關(guān)于構(gòu)建社會主義和諧社會若干重大問題的決定》中,提出了我國衛(wèi)生事業(yè)改革發(fā)展的基本原則、重大舉措和目標任務(wù)。明確提出了建設(shè)“新型農(nóng)村合作醫(yī)療保險制度”的目標任務(wù)。胡錦濤總書記在政治局第三十五次集體學習時的講話中再次強調(diào)：要堅持公共醫(yī)療衛(wèi)生的公益性質(zhì),要在完善市場經(jīng)濟體制的過程中,深化醫(yī)療衛(wèi)生體制改革,要使建立起來的新型農(nóng)村合作醫(yī)療制度,更好的服務(wù)于農(nóng)村群眾。 2002年我國新型農(nóng)村合作醫(yī)療保險制度正式建立起來,并得到了較快的發(fā)展。自2003年1月國務(wù)院轉(zhuǎn)發(fā)了衛(wèi)生部、財政部、農(nóng)業(yè)部關(guān)于建立新型農(nóng)村合作醫(yī)療制度的意見之后,有關(guān)部門不斷加大對新農(nóng)合的投入力度,逐步將新型農(nóng)村合作醫(yī)療制度推向全國。廣大農(nóng)村地區(qū)的醫(yī)療環(huán)境得到了極大地改善。農(nóng)民群眾最關(guān)心的看病難、看病貴問題也有一定程度的緩解。 但是,“新農(nóng)合”建設(shè)中也還存在不盡人意的地方。比如,“新農(nóng)合”的可持續(xù)發(fā)展缺乏一定的后勁；農(nóng)民“看病難、看病貴”的問題未得到根本解決；農(nóng)村醫(yī)療衛(wèi)生服務(wù)水平較低的現(xiàn)象還很突出,這,引起了黨和政府的高度重視,也成為了學界的研究熱點問題,本文從保障農(nóng)民群眾的根本利益和健康水平出發(fā),首先闡述了我國“新農(nóng)合”建設(shè)的必要性和現(xiàn)實意義,其次,對存在的農(nóng)民的認識不到位、農(nóng)民“看病難、看病貴”和農(nóng)村基層醫(yī)療服務(wù)水平較低的問題進行了深入分析,提出了進一步加大對“新農(nóng)合”的宣傳和普及力度；建立慢性病統(tǒng)籌+大病統(tǒng)籌+門診賬戶統(tǒng)籌的醫(yī)療保障機制；進一步提高農(nóng)村基層醫(yī)療衛(wèi)生服務(wù)水平三個方面的相應(yīng)措施。
[Abstract]:The new rural cooperative medical insurance system in China is called "New Rural Cooperative Medical Insurance system", which is a new type of rural public medical and health service system established in the process of perfecting the socialist market economy system. With the establishment of socialist market economy system, the original rural cooperative medical system has developed into a new rural cooperative medical insurance system. In 1993, the CPC Central Committee proposed to develop and perfect the rural cooperative medical system. In 1994, the government began to explore the establishment of a basic medical insurance system for urban workers. The state initiated the reform of the basic medical care system for urban workers and the reform of the urban medical and health care system successively. In 1996, the CPC Central Committee, The State Council convened the first National Health Assembly since the founding of the people's Republic of China and made a decision on health reform and development. Since then, China has accelerated the pace of reform of the medical and health care system. The CPC Central Committee's decision on further strengthening Rural Health work, for the first time, put forward the concept of establishing a "new type of rural cooperative medical system." in October 2006, In the decision of the CPC Central Committee on constructing a harmonious Socialist Society, adopted by the sixth Plenary session of the 16th CPC Central Committee, the basic principles, major measures and target tasks for the reform and development of health care in China are put forward. Clearly put forward the construction of "new rural cooperative medical insurance system" the target task. In his speech at the 35th collective study of the Politburo, General Secretary Hu Jintao once again stressed: we must adhere to the commonweal nature of public medical and health care, and deepen the reform of the medical and health system in the process of perfecting the market economy system. In order to make the new rural cooperative medical system better serve the rural masses, the new rural cooperative medical insurance system of our country was formally established in 2002 and developed rapidly. Since the State Council forwarded the opinions of the Ministry of Health, the Ministry of Finance and the Ministry of Agriculture on the establishment of a new rural cooperative medical system in January 2003, the relevant departments have continuously increased their input into the new rural cooperative medical system. Gradually introduce the new rural cooperative medical system to the whole country. The medical environment in rural areas has been greatly improved. Farmers are most concerned about the difficulty of seeing a doctor, and the problem of expensive medical treatment has also been alleviated to a certain extent. However, the construction of "New Rural Cooperation" also exists unsatisfactory places. For example, the sustainable development of "New Rural Cooperation" lacks a certain degree of stamina; the problem of "difficult and expensive medical treatment" for farmers has not been fundamentally resolved; and the phenomenon of a relatively low level of medical and health services in rural areas is still outstanding. It has aroused the great attention of the Party and the government, and has also become a hot research issue in academic circles. This paper, starting from the protection of the fundamental interests and health level of the peasants, first expounds the necessity and practical significance of the construction of "New Rural Cooperation" in our country, and secondly, This paper deeply analyzes the existing problems of farmers' understanding, "difficult to see a doctor, expensive to see a doctor" and the lower level of primary medical service in rural areas, and proposes to further increase the publicity and popularization of "New Rural Cooperation"; To establish the medical security mechanism of coordinating the outpatient account of chronic diseases, and to further improve the rural primary medical and health service level of three aspects of the corresponding measures.
【學位授予單位】：西華大學
【學位級別】：碩士
【學位授予年份】：2013
【分類號】：F323.89;F842.684;R197.1

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