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传统合作医疗农民参合资金一年一筹,大部分地方新型合作医疗仍延用此法,这种做法人为地将新型合作医疗的连续性打破,并且筹资时每年一次的宣传发动、签订协议及组织征收不但成本大,而且容易产生违规操作。江苏赣榆首创滚动筹资克服了传统筹资成本高、难度大、费时、费力等弊病,有效地解决了全国普遍存在的筹资难问题,具有理论和实践上的可行性和优越性,成为一种简便、高效、稳定的筹资模式。滚动筹资是指参合农民在服务现场报销医药费用时,本着知情自愿的原则,用报销的费用向所在乡合管办和村卫生室预缴该户次年的参合资金。该做法以其简便、低成本、可持续和群众乐于接受,收到显著成效。
The traditional cooperative medical farmers’ participation in funds is one year at a time, and most of the new-type cooperative medical treatments still continue to use this method. This practice artificially breaks the continuity of the new type of cooperative medical care, and once a year the publicity is launched, the agreement is signed, and the organization collects money. Not only is it costly, it is also prone to irregularities. Jiangsu Yishou’s first rolling financing has overcome the disadvantages of high traditional fund-raising cost, difficulty, time-consuming and laborious, effectively solved the problem of financing difficulties that existed in the country, and had theoretical and practical feasibility and superiority, becoming an easy way. , Efficient and stable financing model. Rolling financing refers to participating farmers in the service site when reimbursement of medical expenses, in line with the principle of knowledge and voluntariness, with the expense of reimbursement to the county co-management office and the village clinics pre-paid the participating funds for the following year. This practice has received remarkable results with its simplicity, low cost, sustainability and the willingness of the masses to accept it.