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通过对湖北省荆门市沙洋县新型农村合作医疗实施情况的个案访谈,以农民的视角发现并探讨了以下问题:贫困群体未被覆盖、对个人账户必要性的质疑、大病报销比例问题、受益群体与未受益群体的矛盾、对报销公正性的怀疑。针对这些问题,提出了推进与完善这一制度体系的相关政策建议:加强宣传“新农合”制度、重视年度体检,让所有人受益、取消个人账户,提高大病报销比例、取消逐级转诊制度、完善农村医疗救助、实行直接补贴方式。
Through case interviews with the implementation of new rural cooperative medical system in Shayang County, Jingmen City, Hubei Province, the following problems were found and discussed from the perspective of peasants: the problem of the necessity of individual accounts being questioned, Conflicts between groups and un-benefited groups, doubts about the fairness of reimbursement. In response to these problems, we put forward some policy suggestions on promoting and perfecting this institutional system: to strengthen publicity “NCMS ” system, attach importance to annual physical examination, benefit all people, cancel individual accounts, raise the proportion of serious illness reimbursement, Referral system, improve rural medical assistance, the implementation of direct subsidies.