摘要
利用新型农村合作医疗报告系统数据和在4省7县开展的家庭卫生服务调查数据,介绍了四年来我国新型农村合作医疗制度建设取得的成绩。同时,新型农村合作医疗也面临一些挑战:探索建立稳定的筹资机制;需要注意潜在的财务风险;形成科学规范的统筹补偿方案;规范商业医疗保险公司参与新型农村合作医疗基金运作和管理。
By analyzing the database of new type rural cooperative medical system (RCMS) and a household study conducted in 7 counties from 4 provinces, the paper introduces the achievements of RCMS in China. At present, RCMS is facing new challenge, including to exploit a sustainable financing mechanism; to pay attention on the potential financial risk; to adjust and improve the design of RCMS and inform a scientific and standardized compensation scheme; in some areas, the commercial insurance companies have been involved in the financial management of RCMS, it should be further standardization,
关键词
新型农村合作医疗制度
参合率
补偿模式
挑战
new type rural cooperative medical system
coverage rate
compensation models
challenge