摘要
浙江省 2 7个试点县实施新型农村合作医疗试点工作一年来 ,覆盖农业人口 10 31.17万人 ,实际参加人数84 8.5 5万人 ,参合率 82 .2 9%。新型农村合作医疗制度的管理和运行机制初步形成。所取得的主要经验是 :政府组织引导、财政资金支持与多渠道集资是合作医疗制度建立的关键 ;筹资水平体现了低点起步、扩大覆盖的原则 ;各地因地制宜 ,进行了多种模式和补偿方案的有益探索 ;采取了多种形式的宣传教育活动等。但也暴露出不少问题 ,其中 ,管理上存在薄弱环节 ,补偿受益面小 ,报销比例不高等问题。文章提出要进一步加强管理机制形成 ,增加“大病救助”的模式是减轻农民大病重病医疗经济负担的一种有益尝试。
The new rural cooperating medical system in 27 counties of Zhejiang province has been putting forward one year, which covers 10.31 million of rural population and benefits 8.48 million in rural population (82.29%). The new system is taking its initial shape. The experience we gained is as follows: we should adhere to the following principle: government leadership, financing support, multiple channels of raising funds; fundraising should embody the idea of low-level, broad-coverage; adjustment should be done according to local conditions; promotional work should be done in various ways. But there still exist some shortcomings, for example, benefits coverage is small, and reimbursement proportion is really low. So the author puts forward the following strategies: 1. Strengthen management work. 2. Add “big disease (BD) medical aid mode” to help farmers.
出处
《中国农村卫生事业管理》
2004年第12期3-8,共6页
Chinese Rural Health Service Administration
关键词
浙江省
新型农村合作医疗
管理
Zhejiang province
new rural cooperating medical system
management
