新疆新型农牧区合作医疗制度存在的核心问题及应对措施——基于乌鲁木齐县的调查

Core Problem of New Farming and Pastoral Areas Cooperative Medical System in Xinjiang and Its Countermeasures ——Based on the Investigation of Urumqi County

近12年来新疆实行新型农牧区合作医疗试点工作以来,取得了一些成效,建立起了一套行之有效的管理体制和运行机制,但仍存在一些问题:比如缺乏法律制度保障、参合农牧民报销机制未建立、监督机制缺失及基层医疗资源缺乏等。建议加快地方立法及制度建设;建立合理有效的报销机制;加强基金管理,完善监督机制;加大对基层医疗资源的投入力度,以保证新型农牧区合作医疗制度发展的可持续性。

In recent 12 years, new farming and pastoral areas cooperative medical system pilot work were implemented in Xinjiang, had achieved some success, set up an effective management system and operational mechanism, but there were still some problems： such as the lack of legal system safeguard, participating farmers and herdsmen reimbursement mechanism had not been established, lack of supervision mechanism and the lack of the basic-level medical resources, etc. It is suggested to speed up the local legislation and institution-building; establish a reasonable and effective reimbursement mechanism; strengthen fund management, improve the supervision mechanism; increase investment in basic medical resources, in order to assure the sustainable development of the new fanning and pastoral areas cooperative medical system.