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新型农村合作医疗制度是由政府组织引导和支持,农民自愿参加,个人集体和政府多方筹资,以大病统筹为主的农民医疗互助共济制度,目的是为了解决农民的医疗就医问题,减轻农民因疾病带来的经济负担,提高农民的健康水平。新农合从试点到全面实施,从饱受争议到循序接受,参保率、补贴额、报销比例等逐年上升,这项惠及民生的制度确实解决了农民看病问题。然而,在实施过程中,仍然出现一些制约其健康发展的因素。文章基于对武汉市蔡甸区农户和合管办以及武汉市某定点医院新农合管理办公室管理人员的实地调查,总结出关于医疗机构方面存在的两大问题,并在此基础上延伸到大部分地区这些问题的具体表现、原因,以及综合自身知识给出一些解决问题的建议。
The new rural cooperative medical system is guided by the government organizations and support for farmers to participate voluntarily, individual collectives and the government multi-financing, disease-based co-ordination of peasants medical mutual assistance system, the purpose is to solve the problem of peasants medical treatment, reduce peasants The economic burden brought by the disease and the improvement of farmers’ health. The NCMS from the pilot to full implementation, from controversial to the orderly acceptance, the insured rate, the amount of subsidies, the proportion of reimbursement increased year by year, this benefit the livelihood of the system does solve the problem of farmers see a doctor. However, in the process of implementation, some factors that restrict their healthy development still appear. Based on the field investigation of farmers and co-management offices in Caidian District of Wuhan City and the managers of NCMS offices in a designated hospital in Wuhan City, the article summed up two major problems concerning medical institutions and extended them to most areas on this basis The concrete manifestation of these problems, their causes, and their own knowledge give some suggestions on how to solve the problems.