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[现状]为实行新型农村合作医疗制度,各地都很重视,投入了大量精力,经过艰苦努力,取得了较好的成绩。但也存在一些问题:宣传不够,认识有待提高:筹资机制不稳定,基层工作难度大;管理工作不规范;参保率偏低,运作时间不统一;药品价格管理混乱;农村合作医疗运转艰难,机构设施装备落后,人才短缺,难以承担农民医疗保障载体的重任。[建议]1、加大宣传力度,提高思想认识。要加强对建立合作医疗制度重大意义的宣传,加强对政府扶持资金政策的宣传,加强对合作医疗重要作用的宣传,加强对合作医疗管理办法的宣传。
[Status quo] In order to implement the new rural cooperative medical system, all localities attach great importance to it and have invested a lot of energy. After hard work, they have achieved good results. However, there are also some problems: insufficient publicity, awareness needs to be improved: the instability of the fundraising mechanism, the difficulty of grassroots work; the non-standard management; the low rate of participation, the inconsistent operation time; the chaos of drug price management; the difficult operation of rural cooperative medical care. The facilities and equipment of the institutions are backward and there is a shortage of talents, and it is difficult to bear the heavy responsibility of farmers’ medical support carriers. [Recommendations] 1. Increase propaganda and raise awareness. It is necessary to strengthen publicity on the significance of establishing a cooperative medical system, strengthen the publicity of the government’s supportive funding policy, strengthen the promotion of the important role of cooperative medical care, and strengthen the promotion of the cooperative medical management measures.