新农合制度下我国农民异地就医报销困境及整合

Dilemma and strategy of the reimbursement for intercity medical treatment in China under NRCMS

目的:新农合制度建立有效推动了我国农村卫生事业发展。但随着市场经济与城镇化的推进,其制度本身弊端也日见端倪。只有深入挖掘我国农民异地就医报销的现实困境,才能为整合新型农村合作医疗找到合理路径。方法:文献研究与走访调查相结合,定量分析与定性分析相结合。结果:发现我国各地新农合制度不统一、统筹程度低与信息化建设不健全等,严重地限制了农民异地就医的转移接续。结论:从市场引导、制度设计、信息化建设与政府监管等多方面入手,提出了整合我国农民异地就医报销的策略。

Objective The establishment of the new rural cooperative system（NRCMS）has effectively promoted the development of rural health service launched in China.But with the development of the market economy and urbanization,the malpractice of the system has appeared.Only by exploring the practical difficulties of the medical reimbursement for intercity medical treatment among rural residents can we find a reasonable path for the integration of new rural cooperative medical care.Methods Quantitative analysis and qualitative analysis were adopted based on literature research and interview.Results Intercity medical treatment was restrained from the difference in NRCMS of respective cities,the ineffective overall planning and imperfect construction of informationization.Conclusions Medical reimbursement for intercity medical treatment can be improved by market guidance,system design,informationization construction and government supervision.