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本文从实证的视角,以新型农村合作医疗为研究对象,探究城市化、人口流动与建立医疗保障体系的关系,指出在当前城乡、区域经济差距拉大的情况下,要建立多层次的医疗保障体系。对于经济高度发达、医疗资源集中、城市人口占据大多数的省市,新型农村合作医疗甚至可以作为一种地区性的福利;对于经济发达、城市化水平高的省市,应当充分调动地方政府的积极性,对农村居民的医疗进行必要的支持;对于经济欠发达、农村人口比例高的省份,应当发挥中央财政的作用,在农村经济起飞前填补医疗的空缺;对于少数民族地区、山区等情况特殊的地区更应当重点支持。
In this paper, from an empirical perspective, the new rural cooperative medical system as the research object, to explore the relationship between urbanization, population mobility and the establishment of medical security system, pointing out that in the current urban and rural areas, regional economic gap widening, we must establish a multi-level medical security system. For provinces and municipalities with highly developed economy, concentrated medical resources and a large urban population, new-type rural cooperative medical services can even serve as a kind of regional welfare; for economically developed and urbanized provinces and municipalities, local governments should be fully mobilized Enthusiasm for rural residents in the medical support necessary; for economically underdeveloped provinces with a high proportion of rural population should play the role of the central government to fill in medical vacancies before the rural economy take off; for ethnic minority areas, mountainous areas and other special More areas should focus on support.