贫困地区农村合作医疗制度可持续发展研究

Study of Sustainable Development of Rural Cooperative Medical System in Poor Areas.

改革开放以来,我国农村的医疗保健工作进展较为缓慢,农民失去了最基本的医疗服务,“因贫致病,因病返贫”日益成为中国的一个突出社会问题。为了解决这一问题,我国政府提出以“大病统筹”为主的新型农村合作医疗制度,并在全国农村试点推广。然而,调查资料表明,这一制度在广大中西部贫困地区的实施效果难如人意,村民的参加意愿并不是很强。该文根据贫困地区农村的具体特点提出一些因地制宜的具体合作医疗制度,以便新型农村合作医疗制度在中西部贫困地区实施的完善与可持续发展。

Since reform and opening-up, the development of rural health care is very slow. The farmers lose basic medical care. ＂Poverty because of diseases＂ and ＂diseases because of poverty＂ is becoming an outstanding social problem. To solve this issue, Chinese government puts forward new rural cooperative medical system, which core is social risk pooling and spreads it in whole countryside. However, some investigations showed that the effect of this system is not obvious in central and west poor areas and the villagers were not urgent to participate in it. Based on some specific characteristics in rural poor areas, this paper put forward some specific cooperative medical. system based on local conditions to make new rural cooperative medical system be perfected and sustainable development.