论文部分内容阅读
截至去年年底,全国已有30个省、自治区、直辖市和新疆生产建设兵团确定了304个新型农村合作医疗试点县(市),约覆盖9300余万农业人口,实际参加合作医疗的农民6450余万,参加率为69%。试点中发现了一些问题,有的地方筹集合作医疗资金采取任务包干、代缴垫付等办法,虚报参加人数,套取上级财政资金;一些地区合作医疗基金没有按规定实行钱账分离,封闭运行;对定点医疗机构的服务行为和医药费用控制缺乏有效的监管措施。因此,卫生部提出,新型合作医疗要加强指导监督,健全制度,规范基金管理,确保资金安全。要尽可能扩大受益面,使更多的农民得到实惠,防止基金沉淀过多。加强对定点医疗机构的监管。及时解决群众反映强烈的突出问题,巩固试点成果。
By the end of last year, 304 new-type rural cooperative medical pilot counties (cities) had been established in 30 provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps, covering about 93 million agricultural population. The actual number of farmers participating in the cooperative medical care was 64.5 million , Participation rate was 69%. Some problems were found in the pilot project. Some localities raised cooperative medical funds to take tasks such as covering tasks and paying surrenders and other ways to make false statements about the number of participants and obtain higher-level financial funds. In some areas, the cooperative medical funds were not separated and closed in accordance with the regulations. There is a lack of effective regulatory measures on the service activities and medical expenses control of designated medical institutions. Therefore, the Ministry of Health proposed that the new type of cooperative medical care should strengthen guidance and supervision, improve the system, standardize fund management and ensure fund safety. As far as possible to expand the beneficiary, so that more farmers receive benefits, to prevent excessive precipitation of the Fund. Strengthen the supervision of designated medical institutions. Solve the prominent problems that the masses reflect strongly in a timely manner and consolidate the pilot achievements.