新型农村合作医疗可持续发展研究:制约瓶颈与路径选择

A Research on the Sustainable Development of New Rural Cooperative Medical System:Constraining Bottleneck and Path Selection

我国自2003年开始推行新农合试点工作,制度实施9年来,在保障农民获得基本医疗服务、缓解农民因病致贫、因病返贫中发挥着重要作用,成为建设社会主义新农村和统筹城乡发展的重要制度安排。但是新农合存在的制度设计缺陷、立法滞后、筹资机制不完善、运行模式不统一等问题已经成为制约新农合可持续的现实瓶颈,文章提出重视制度设计、完善新农合制度目标、加快立法进程、建立科学的筹资机制等措施,并认为最终实现建立城乡一体化的医疗保障制度是新农合可持续发展的方向。

China has launched the pilot work of new rural cooperative medical system since 2003. Basic medical services and alleviating farmers’ poverty due to illness become important institutional arrangements of building new socialist rural areas and coordinating urban and rural development. But design flaws of the new rural cooperative medical system, legisla-tive lags, imperfect financing mechanisms and not uniform operation modes have become the constraining bottleneck on the sustainable development of new rural cooperative medical system. The paper attaches great importance to system design, perfecting the targets of new rural cooperative medical system,accelerating legislative process,building scientific financing mechanisms, etc. The paper also proposes that the direction of the sustainable development of new rural cooperative medical system is to build urban and rural integration medical security system.