和谐社会视野下的新型农村合作医疗制度

【作者】 曹晶；

【导师】 陈金华；

【作者基本信息】 复旦大学 ， 马克思主义理论与思想政治教育， 2009， 硕士

【摘要】 新型农村合作医疗制度是由政府组织、引导、支持,农民自愿参加,国家、地方和个人多方筹资,以大病统筹为主的农民医疗互助共济制度。从2002年党和国家明确提出建立这一制度,次年部分地方开始正式实施新型农村合作医疗制度,到2008年全国31个省、市、自治区基本实现全覆盖,其逐渐成为现阶段我国农村医疗保障制度的核心。新型农村合作医疗制度与构建和谐社会之间具有十分密切的关系。农村医疗体制的完善与否直接关系到广大农民群众的身体健康,关系到农村经济和社会的协调发展,关系到农民生活质量的提高和农村社会进步。新型农村合作医疗制度的实施保障了农民的基本需求和基本权利,有利于解决农民因病致贫、因病返贫等问题,增强抵御风险的能力,推动农村社会保障和医疗卫生等公共事业的发展,缩小城乡差距,协调城乡居民间的利益关系。从而能够达到帮助农民安居乐业,增强农民对党和政府及改革的支持力度,减少农村及社会的不稳定因素,达到促进农村社会和谐发展的目的。本文试图以有关社会保障制度理论为基础,通过介绍合作医疗制度在中国的发展历程、传统合作医疗的衰退及新型农村合作医疗的兴起,分析新型合作医疗的特点。注重通过与传统合作医疗制度的比较,以及与国外其他模式医疗保险制度的比较,分析各自的优劣,探究新型农村合作医疗的未来发展趋势。文章引言部分介绍研究背景和相关理论基础;第一部分介绍我国农村合作医疗制度的历史发展的四个阶段;第二部分介绍新型农村合作医疗制度兴起的背景、原因,以及新型农村合作医疗制度的实施情况及特点分析;第三部分分析新型农村合作医疗制度的问题,包括其在制度设计和实践过程中存在的不足,分析我国新型农村合作医疗的几种主要的统筹模式和发达资本主义国家的医保模式对我们的借鉴意义;最后一部分探讨新型农村合作医疗制度对构建社会主义和谐社会的意义,提出进一步完善新型农村合作医疗制度的几点建议。更多还原

【Abstract】 The new rural cooperative medical care system, which on the basis of voluntary participation of farmers, was organized, guided and supported by the government. It was financed by three sources: the individual, the local government and the national government. It is a co-ordinate based medical system for farmers. From the CCP and the central government clearly put forward the establishment of such a system in 2002, some areas began to practice new rural cooperative medical system on the next year, then in 2008 the country’s 31 provinces, municipalities and autonomous regions, the basic realization of full-coverage, has become at this stage of China’s rural the core of the medical security system.The new rural cooperative medical care system and building a harmonious society is very closely related. Improve the rural medical system is directly related to the broad masses of peasants in good health, related to the rural economy and social development, related to the improvement of the quality of life of farmers and rural social progress. The new rural cooperative medical care system to protect the basic needs of farmers and fundamental rights, will help solve the problems of becoming poor caused by illness and returning to poor caused by illness, and enhance ability to resist risks, promoting rural social security and health, such as the development of public utilities and narrow the gap between urban and rural areas, coordinate the interests between urban and rural residents. Doing so, farmers will live and work in peace . The party, the government and the reform will achieve more support from the farmers. The instability in the rural and social factors will be reduced. So as to achieve social harmony and promoting rural development.This article attempts to theories of the social security system based on cooperative medical care system through the presentation of the course of development in China, the traditional cooperative medical care in a recession and the new rural cooperative medical care in the rise of analysis of the characteristics of the new cooperative medical care. It focus on co-operation with traditional health care system compared to other models as well as with foreign medical insurance system for the comparative analysis of the advantages and disadvantages of each to explore the new rural cooperative medical care in the future development trends.The Introduction about the background section describes the theoretical basis and relevant; the first part of China’s rural cooperative medical care system of the four stages of historical development; the second part, introduced a new type of rural cooperative medical system in the context of the rise of the reasons, as well as the new rural cooperative medical system Analysis of implementation and features; Analysis of the third part of the new rural cooperative medical care system, including system design and in practice the existence of inadequate, analysis of China’s new rural cooperative medical care co-ordination of several main models and the developed capitalist countries of the medical model of our reference significance; to explore the last part of the new rural cooperative medical care system to build a harmonious socialist society the significance of further improving the new rural cooperative medical care system proposals.更多还原