民族地区农村合作医疗实施效果研究——基于新疆托克逊县的调研

Research on the Effect of Implementing of Rural Cooperative Medical Service in China's Minority Areas——Based on the Investigation of Tuokexun County in Xinjiang Uygur Autonomous Region

文章基于新疆托克逊县的调研数据,对民族地区的农村合作医疗实施效果进行了研究。研究表明,农民参加农村合作医疗制度的积极性较高,参合率整体也较高;农民对农村合作医疗的了解认知水平较低,认知不足;农村合作医疗实施过程中,因人为及监管等原因导致报销情况不太乐观,报销比例较低;各级政府筹资比例不高,保障资金缺口较大。为此,建立和完善民族地区的农村合作医疗要做到:加强宣传力度,进一步提升农民参合的积极性;减少报销程序,提升服务质量,提高报销效率;加大力度改善基础医疗环境,不断提升医疗水平;不断加大政府财政投入支持力度。

Based on the research data of Tuokexun county, this paper demonstrated the result of the implementation of the rural cooperation medical service in the regions inhabited by ethnic groups, The study shows that the farmers actively partic- ipated in the service and the participation rate is also high on the whole, however, their knowledge and understanding on it was limited. Because of some man-made factors and lack of supertision, many disadvantages still exist in the implement process of rural cooperative medical service. Authors made some suggestions on improving current conditions, that they are strengthening the publicity to improve the activeness of farmers＇ participating; reducing the reimbursement procedures to improve the quality of service ; intensify efforts to improve the basic medical environment and constantly enhance the level of medical treatment;continuing to increase financial input in support.