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基于九省的一线调研,本文对县级政府在新型农村合作医疗制度模式、财务机制与工作网络领域的影响机理进行了理论与实证分析。文章认为,县级政府的政治意愿与机构能力是决定新型合作医疗制度保障能力与农民受益程度的关键,并提出了“调整县乡政府考核指标”、“加快县乡村基层机构民主化进程”以及“建立基于医疗供方的医疗费用降低机制”的政策建议。
Based on the first-line surveys of nine provinces, this paper makes a theoretical and empirical analysis of the impact mechanism of the county-level government in the new rural cooperative medical system model, financial mechanism and work network. The article holds that the political will and institutional capability of the county government is the key to determine the ability of the new cooperative medical system to guarantee the peasants’ benefits and proposes “to adjust the evaluation index of the county and township government” and “to democratize the grass-roots institutions in the villages and counties. Process ”and “ establishing medical providers based medical cost reduction mechanism ”policy recommendations.