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该研究选择河南省的开封县和淮阳县为研究现场 ,用 6年时间 ,采用社会干预试验研究方法 ,建立了社会主义市场经济条件下新型农村合作医疗保障制度 ,其农村卫生服务筹资机制是“政府引导、集体扶持、个人投入为主”,农村医生的基本报酬机制是“有竞争的预付制”和“有限制的后付制”。对合作医疗管理体制也作了有益探索。试验期间农民的基本医疗预防保健需求有较大幅度提高 ,农民的疾病经济风险有一定程度降低 ,农民因病致贫问题有一定缓解。研究的结论是 :新型合作医疗保障制度是中国特色农村居民适宜的医疗保障制度 ,应存在并不断发展 ;合作医疗应调整补偿方向 ,提高抗风险能力 ;合作医疗的现行体制制约了它的发展 ,需要改革。
The study chose Kaifeng County and Huaiyang County of Henan Province as the research site. Using the method of social intervention trials for six years, the new rural cooperative medical security system under the socialist market economy conditions was established. The funding mechanism for rural health services is “Government guidance, collective support, and personal investment are the mainstays.” The basic remuneration mechanism for rural doctors is “competitive prepayment system” and “limited postponement system”. The cooperative medical management system has also made beneficial explorations. During the trial period, the farmers’ basic medical preventive care needs have been greatly increased. Farmers’ disease economic risks have been reduced to a certain extent, and farmers have been alleviated due to illness. The study concluded that the new cooperative medical security system is a suitable medical security system for rural residents with Chinese characteristics and should exist and continue to develop; cooperative medical care should adjust the direction of compensation and improve the ability to resist risks; the current system of cooperative medical care has restricted its development. Needs reform.