我国农村传统医疗保障制度存在的问题和对策.pdfVIP

我国农村传统医疗保障制度存在的问题及对策 邬旭东 （蚌埠学院人文社科部，安徽 蚌埠 233000） ［摘要］解决好广大农民的医疗保障问题，关系到我国农村的经济发展和社会稳定。目 前我国农村原合作医疗制度已经衰退，农民基本医疗保障问题尚未得到根本解决，政府的政 策资源投入不足，农村医疗保障资金筹集困难，医疗保障制度覆盖率低，农村卫生资源配置 不合理，农村医疗市场体系不完善。要建立新型农村医疗保障制度，必须建立长期稳定的农 村医疗保障的资金筹措机制，举办多种形式的农村医疗保障制度，建立对农村低收入患病人 群的医疗救助制度。建立新型农村医疗保障制度的核心问题是要让该制度适应社会发展、符 合民众需求、具备完善的制约和激励机制。 ［关键词］农村医疗保障；资金筹措机制；卫生资源配置；医疗市场体系；医疗救助制 度 ［中图分类号］ F840.684 ［文献标识码］ A ［文章编号］1004-3306（2007）04-0044-04 Abstract： Properly handling medical protection of the rural population is vital to rural economic development and social stability. Currently, the existing rural medical cooperative system has been greatly weakened, and basic medical protection of rural population has not been effectively solved. The existing problems are insufficient government support, financing difficulty for rural medical protection, low coverage of medical protection system, irrational distribution of health resources, and incomplete medical services market in rural areas. To establish a new type of rural medical protection system, we must set up a long　 term stable financing mechanism for rural medical protection, establish a rural medical protection system of diversified forms, and create a medical assistance system for low 　income distressed population. The kernel issue to set up such a new type of rural medical protection system is to have a system adaptable to social development, public needs and with complete restriction and incentive measures. Key words：rural medical protection; financing mechanism; health resources distribution; medical market system; medical assistance system 农村医疗保障制度是一项在政府和集体的帮助下依靠农村居民自身经济实力而建立起 来的对农村居民健康状况进行保障的制度，它是农村社会保障制度的重要组成部分。作为人 口众多的发展中国家和城乡分割的二元社会，我国对农民实施的社会保障主要立足于农民的 自我保障。随着我国经济社会的不断发展，我国农村社会保障制度也必须随着我国的经济与 社会的发展而发展