自2 0 0 3年以来的新型合作医疗制度试点工作取得了一些成绩,但其存在的问题也是显而易见的。解决这些问题,需要深入细致地做好宣传发动工作,提高农民的参合率;引入合作医疗竞争机制,打破医药垄断,并进行适当监管;明确合作医疗管理主体,完善合作医疗管理制度,还要改革农村医疗机构,合理调配农村卫生资源。 Some achievements have been made in the trial of the new cooperative medical system since 2003, but its problems are also obvious. To solve these problems, we need to do a good job of propaganda and mobilization in order to improve the participation rate of farmers; introduce a cooperative medical competition mechanism, break the monopoly of medicines, and conduct proper supervision; define the subject of cooperative medical management, improve the cooperative medical management system, and reform Rural medical institutions rationally allocate rural health resources.