我国新型农村合作医疗制度高质量发展研究

Research on High Quality Development of New Rural Cooperative Medical System in China

新型农村合作医疗制度不仅是政府惠及广大农村居民健康的医疗卫生政策,还有效解决了政府重视的“三农”问题,更为促进我国加快全面小康社会的建设做出了巨大贡献。但就其目前的实际运行情况而言,还存在着农村地区基础医疗资源分配不均、新农合资金收缴比例有待完善、新农合资金使用缺乏有效控制和政府卫生部门监管措施有待加强等一系列问题。因此,新农合医疗制度高质量发展必须以精准定位为导向确保对农村基础医疗卫生资源投资的有效性,以科学评估为依据提升新农合资金筹集办法与效率;以合理分配为指导健全新农合资金报销使用管理办法,以及以严厉管控为防线加强制度规范与医疗卫生事业监督。

The New Rural Cooperative Medical Care System(NRCMCS)is not only a medical and health policy that benefits the health of rural residents,but also an effective solution to the problems of“agriculture,rural areas and farmers”that the government attaches importance to.However,in terms of its current actual operation,there are still a series of problems,such as uneven distribution of basic medical resources in rural areas,the proportion of funds collected by the new rural cooperative medical system needs to be improved,the use of funds of the new rural cooperative medical system lacks effective control and the government health department's supervision measures need to be strengthened.Therefore,the high-quality development of the new rural cooperative medical system must be guided by precise positioning oriented to ensure the effectiveness of the investment in rural basic medical and health resources,based on scientific assessment enhance new farming fund-raising way and efficiency,guided by the rational distribution to improve the fund reimbursement of the NRCMCS,using strict control as the line of defense to strengthen institutional norm and supervision of the medical and health services.