对甘肃省农村以土地为核心的社会医疗保障的现实调查和反思

On the Investigation and Rethinking of Country Medical Treatment System in Gansu Province

本文通过对甘肃省农村几地社会医疗保障现状及土地医疗保障能力的抽样调查与分析,揭示了西部农村土地在有效防范农民医疗风险方面能力有限,且有逐渐弱化趋势的问题。且就该问题从国家制度缺失、财政投入不足、医疗救助手段的匮乏等方面进行了深入反思。指出在当前甘肃农村,正确认识土地医疗保障能力,将对广大农户参加合作医疗产生积极的影响,有助于甘肃农村合作医疗制度的推广。同时,就如何建设适合甘肃农村的合作医疗制度的新机制,笔者从模式类型的选择、资金筹集与管理、非正式安排、地方立法安排等方面提出了对策。

After investigating and analyzing the realistic situation of medical treatment in countryside of Gansu province, which take land as guarantee, the article reveals the problems existing in the system and puts foreword some reasonable suggestions and countermeasure for the construction of new cooperating medical treatment system available and suitable in the countryside of Gansu.