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随着新型农村合作医疗制度(简称“新农合”)的深入运行,参合群众就医需求不断释放,就医人次大幅上升,发生重大疾病而就医的人员数量不断增加[1]。新农合作为一种基本医疗保障制度,其性质是坚持“保基本”和兼顾公平原则。海门市根据“卫十一”项目计划的要求,探索建立重大疾病保障基金,从制度上保证新农合基金的安全运行,从政策上对发生重大疾病的参合人员进行有力的救助,防止因病返贫现象的发生[2-3]。
With the in-depth operation of the new rural cooperative medical system (referred to as “NCMS”), the demand for medical services for the participating public has been continuously released, the number of medical treatment visits has risen sharply, and the number of people in serious medical emergencies has risen [1]. The new rural cooperative medical system as a basic medical security system, its nature is to adhere to the “basic” and take into account the principle of equity. Haimen, in line with the requirements of the “Wei 11” project plan, has explored the establishment of a major disease protection fund to ensure the safe operation of the new rural cooperative fund system from the system and effectively provide assistance to those participating in the major disease policies to prevent Return to poverty due to illness [2-3].