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浙江省 2 7个试点县实施新型农村合作医疗试点工作一年来 ,覆盖农业人口 10 31.17万人 ,实际参加人数84 8.5 5万人 ,参合率 82 .2 9%。新型农村合作医疗制度的管理和运行机制初步形成。所取得的主要经验是 :政府组织引导、财政资金支持与多渠道集资是合作医疗制度建立的关键 ;筹资水平体现了低点起步、扩大覆盖的原则 ;各地因地制宜 ,进行了多种模式和补偿方案的有益探索 ;采取了多种形式的宣传教育活动等。但也暴露出不少问题 ,其中 ,管理上存在薄弱环节 ,补偿受益面小 ,报销比例不高等问题。文章提出要进一步加强管理机制形成 ,增加“大病救助”的模式是减轻农民大病重病医疗经济负担的一种有益尝试。
Over the past year, pilot projects of new rural cooperative medical system in 27 pilot counties in Zhejiang Province covered 10,311,700 rural residents with an actual attendance of 848,500 and a participation rate of 82.29%. New rural cooperative medical system management and operation mechanism initially formed. The main experience gained is that government guidance, financial support and multi-channel fund-raising are the keys to the establishment of a cooperative medical system. The funding level reflects the principle of low starting point and expanding coverage. Various localities and localities have conducted various modes and compensation programs Useful exploration; adopted a variety of forms of publicity and education activities. However, many problems have also been uncovered. Among them, there are some problems in the management, such as weak links, small compensation benefits, and low reimbursement rates. The article proposed to further strengthen the formation of management mechanism and increase the mode of “serious illness and aid”, which is a beneficial attempt to reduce the burden of peasants’ serious illness and medical care.