新型农村合作医疗制度下医疗服务分析研究.pdfVIP

摘 要 摘 要 健康是人全面发展的基础，医疗保障制度是我国社会保障制度的重要组成部分，医 疗保障制度的完善有利于提高人的健康水平。改革开放以来，我国农村的医疗卫生服务 事业有了很大进步，但由于长期存在的城乡二元经济体制，农村居民看病大多数仍为自 费医疗，加上农民收入水平低，缺乏必要的医疗常识，很多农民在患病后因不能得到及 时的治疗而延误了最佳的治疗时机，这不仅加重了农民的病情，还加大了农民的经济负 担及其家人的精神负担，农民因病返贫、因病致贫现象日趋严重。我国自 2003 年开展 新型农村合作医疗制度以来，在一定程度上减轻的了农民的疾病风险，国家加大了对农 村地区医疗卫生服务的投入力度，改善农村地区的医疗卫生条件，但农村居民的医疗卫 生服务需求也随经济的发展及疾病谱的变化等多种因素的影响不断增加，医疗服务供需 之间仍存在问题。 本文通过对相关资料和统计数据的总结与归纳，分析了我国新型农村合作医疗制度 下医疗卫生服务的需求与供给状况及影响因素，在新型农村合作医疗制度下医疗卫生服 务存在的问题，及问题的产生原因，对农村地区医疗卫生服务的进一步完善提出相应对 策。完善我国农村地区的医疗卫生服务供给过程中，应着力构建和谐的医患关系，加大 政府对农村医疗卫生服务事业的投入力度，健全医疗卫生服务方式，进一步完善我国的 新型农村合作医疗制度，以满足农民的医疗卫生服务需求。 关键词 医疗卫生服务需求 医疗卫生服务供给 道德风险 政府职能 I Abstract Abstract Health is the basis for comprehensive development of human; the medical security system is the important part of the social security system, improving the medical security system will help improve peoples health. Since the reform and opening up policy, China’s rural health services have made great progress.However, due to the long-standing urban-rural dual economic structure, most rural residents are still at their own expense medical doctor, coupled with the low income level and lacking of the necessary medical knowledge. Many farmers can not get sick time after the treatment because of delays in the best time for treatment, which not only aggravated the condition of farmers, but also increased the financial burden and the mental burden of their families. Lead to the phenomena of “sickness sending poorly”, “sickness retuned poorly”increasingly serious. Since 2003, China carried out the new rural cooperative medical care system, which