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新型农村合作医疗的可持性问题涉及多种因素,包括制度环境和治理结构等。文章从医疗服务供方的视角对新型农村合作医疗的现行制度进行审视,以新沂市窑湾镇为例,寻找出新型农村合作医疗资金使用不断增长的原因,分析制度设计中存在的故有问题,并给出相应的对策建议。在没有改变供方主导模式的情形下,对新型农村合作医疗进行费用控制是难于奏效的。
The sustainability of new rural cooperative medical care involves a variety of factors, including the institutional environment and governance structure. The article examines the current system of the new rural cooperative medical care system from the perspective of the medical service provider and takes Yaowan Township of Xinyi City as an example to identify the reasons for the increasing use of new rural cooperative medical care funds, and analyzes the existing problems in the system design. Problems and give corresponding countermeasures and suggestions. Without changing the dominant model of suppliers, the cost control of new rural cooperative medical care is difficult to achieve.