医改论文1.docVIP

新型农村合作医疗制度取得的成果和存在的问题 ——基于湖南省娄底市双峰县考察调研 摘要：自我国从2003年启动新型农村合作医疗（以下简称新农合）试点以来，通过政府和各级工作人员的努力，到今新农合已有十年历程，新农合的覆盖率以近乎百分之百。不得不说，新农合医疗制度已经在我国取得了一定的成效。但是，作为一项涉及千家万户的医疗制度，或多或少会存在一定的问题和不足之处。笔者为明确新农合制度的落实情况，在湖南省娄底市双峰县进行了为期两周的调研实践活动。并通过走访双峰县卫生局、合管办、人民医院、乡镇卫生院等地详细了解了新农合制度在湖南省娄底市双峰县的落实情况，还对当地群众进行发放问卷式的调查。并在此基础上撰写了此文，希望通过对双峰县新农合制度取得的成果和存在的问题的分析，能够对全国新农合制度的改善提供一定的启示和借鉴。 关键词：新型农村合作医疗；成效；问题；覆盖范围；满意度 Abstract: since China launched in 2003, the new rural cooperative medical care pilot (hereinafter referred to as the new farming match), through the efforts of the government and all levels of staff, to new farming for ten years, this year the new coverage to nearly one hundred percent of farmers. Have to say, the new agriculture and health care system has made certain achievements in our country. But, as a matter of involving thousands of medical system, there are more or less some problems and deficiencies. The author to identify new farming and system implementation, in LouDeShi double-peak county of hunan province for two weeks of research practice. And through the visit bimodal county health bureau and management office, the peoples hospital, in towns and townships, details about the new farming system at LouDeShi double-peak county of hunan province to carry out the situation, Also for local people to distribute the questionnaire to survey.and on this basis to write the article, hope that through the bimodal county new farming and system analysis of the achievements and problems of farmers to the new system provide certain enlightenment and reference for improving. Key words: the new type of rural cooperative medical care; Results; Problem; Coverage; satisfaction 1 引言 新型农村合作医疗是指在政府组织、引导、支持下，农民自愿参加，个人、集体和政府多方筹资，以大病统筹为主、门诊统筹为辅的农民医疗互助共济制度。我国是一个农业大国，全面建设小康社会是我党长期以来的奋斗目标，因此解决“看病难”问题就成为实现这一目标不可或缺的一步。而新型农村合作医疗制度的实施，对缓解当今农民因病致贫、返贫问题，增强人民满意度和幸福感，保持社会稳定和社会和谐，具有十分重大的意义。回顾新农合实施十年历程，笔者认为有必要对实施情况进行总结，保持这项制度的优越性并及时弥补不足，才能使这项制度经久不衰，也才能够真正让农民群众从中受益，最终从根本上解决农村“看病难”问题。 双峰县地处湖南省几何中心位置，县域面积1715平方公里，