新型农村合作医疗(以下简称新农合)实施以来,随着保障水平的提高,广大农村居民因病致贫和因病返贫问题得到缓解。但受物价上涨指数的影响,门诊及住院医疗费用增长幅度也增快,加上医疗机构补偿机制没有到位,医疗机构趋势行为未根本解决,部分定点医疗机构不规范的诊疗行为时有发生,既加重了广大农村居民的医药费用负担,又加剧了新农合基金运行的风险。由于新农合经办机构人员编制少,工作责任大,结报管理任务重,定点医疗机构时常出 Since the implementation of the new-type rural cooperative medical care (hereinafter referred to as NCMS), with the improvement of the guarantee level, the majority of rural residents have been relieved of the problems of poverty and illness due to illness. However, due to the price inflation index, the growth rate of out-patient and in-hospital medical expenses also increased. Coupled with the fact that the compensation mechanism of medical institutions was not in place and the trends and behaviors of medical institutions were not fundamentally resolved, the irregular medical practices of some designated medical institutions occurred from time to time. Aggravating the burden of medical expenses on the majority of rural residents and aggravating the risk of the operation of the new rural cooperative medical fund. As a result of the NRCMS agencies less staffing, work responsibility, report management tasks, fixed-point medical institutions often