【作者】 王晓春；

【导师】 陈伟忠；

【作者基本信息】 同济大学 ， 公共管理， 2007， 硕士

【摘要】 随着中国经济制度从计划经济向市场经济的逐渐转型,传统的农村合作医疗卫生体制逐步失去了自身存在的基础,由此开始了一系列关于农村合作医疗卫生体制的改革与探索。从2003年1月开始的4年的试点工作所取得的成效和经验来看,开展新型农村合作医疗符合广大农民的意愿,对提高农民健康保障水平,减轻农民医疗负担,解决因病致贫、因病返贫问题具有重要作用。完善新型农村合作医疗制度,是新形势下党中央、国务院切实解决“三农”问题,统筹城乡经济、社会协调发展而做出的重大举措,是构建农村医疗卫生系统的重要载体,是建设社会主义新农村,构建社会主义和谐社会的一项基础工程。新型农村合作医疗制度凸显了我国社会政策从以城市为重逐步转向农村的历史性转变,具有重大的历史和现实意义。但这种利国利民的新型农村合作医疗制度在运行中还是遇到了很多困难。瓯海区作为温州主城区之一,2003年被省政府列入全省27个新型农村合作医疗试点区,新型农村合作医疗工作取得了明显的成效。但是,目前该区的新型农村合作医疗工作像我国其它地区一样,也在发展中碰到了一些困惑。本文针对该区新型农村合作医疗目前存在的筹资、运行、补偿等问题,运用SWOT分析理论,对目前新型农村合作医疗制度内部环境的优势、劣势以及外部环境的机会、威胁进行了分析,最后提出了完善瓯海区新型农村合作医疗制度的对策建议。更多还原

【Abstract】 Along with the gradual transformation of China’s economic system from the planned economy to market economy, the traditional rural cooperative medical health system has gradually lost its foundation of existence. Then it begins with a series of reform and exploitation related to the rural cooperative medical health system. From the perspective of the effect and experience obtained in 4 years pilot work started from January, 2003,developing the new rural cooperative medical is in accordance with the general farmers’ wish, and has an important effect on raising the farmers’ health security level, lightening the farmers’ medical burden, and solving the farmers’ poverty problem due to the illness. The construction and perfection of new rural cooperative medical system is a significant act made by the Central Party Committee and the State Council under the new situation to solve the problem about agriculture countryside and peasants and to coordinate the economic and social development of city and countryside. It is an important carrier of rural medical health system construction and a basic project of constructing the socialist new countryside and harmonious society.New rural cooperative medical system fully demonstrated the historical transformation that the emphasis of social policy in china will gradually shift to rural areas. But there are many difficulties in implementing such a national beneficial new rural cooperative medical system and making it work smoothly. Ouhai district government as main urban area of Wenzhou city and it is a new rural cooperation medical system experimental district of Zhejian provincial. However, the reform of Ouhai new rural cooperation medical is not in the lead as that of market economy. This article brings forward that there are several problems existing in Ouhai new rural cooperation medical, such as financing, operation and compensation. Focusing on the problems and difficulties commonly existing in the new rural cooperation medical, by using swot theories, this paper deeply analyzes the new rural cooperation medical reform’s advantage and disadvantage of internal environment, opportunity and threat of external environment etc. At last it puts forward the propositions on how to perfect new rural cooperative medical system of Ouhai.更多还原