黑龙江两县新型农村合作医疗的问题分析

Analysis on issues of new Rural Cooperative Medical System in Heilongjiang province

本文基于对黑龙江省两县的实地考察,分析了两地新型农村合作医疗在实施过程中存在的两个问题。一是新农合的实施影响了当地的医疗卫生服务体系,不同医疗机构受到了差别对待,而双向转诊的规定在当前农村难以实施;二是很多地方偏爱的个人账户并非如其宣传的目的是保障小病,而是为了降低农民的实际参合费用,并保障新农合的资金周转。这些问题都是未来进一步加强新农合工作所需解决的。

Based on field study in two counties in Heilongjiang province, this paper analyzed two issues about the implementation of new Rural Cooperative Medical System（RCMS）. First, RCMS has adversely affected the local medical service system. The health agencies in charge of RCMS may take advantage of it to protect their subsidiary medical institutions, and the two-way referral provisions in the current difficult to implement in rural areas. Second, the medical savings accounts referenced by many countries is not as propagandized to reimbursement minor ailments medical expenses, but to reduce the actual admission cost and keep cash flow of RCMS. These issues need to be resolved in future for strengthening RCMS.