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本文以云南省玉龙县为例,首先介绍该县的一些背景情况和作为新农合试点县后的制度实施情况,并从公平性的角度提出新农合存在的若干问题,即筹资和资金补偿环节存在的公平性问题。之后分析产生这些问题的原因,包括:部分农民群众还处在绝对贫困状态;现行新农合筹资模式的设计可实现简化操作程序、提高执行效率;医疗卫生资源在城乡间、地域间分布不均等。最后提出解决此类公平性问题的措施:加大对弱势群体的医疗救助;考虑在今后的卫生筹资过程中更强调纵向公平;加大对农村医疗卫生资源的投资。
In this paper, Yulong County of Yunnan Province as an example, first of all introduced the background of the county and as the implementation of the new rural cooperative medical system after the implementation of the system, and from a fair point of view some of the problems of new rural cooperative medical system, that is, financing and financial compensation The problem of fairness in the link. After analyzing the causes of these problems, some of the peasants are still in absolute poverty. The current NCMS funding model can be designed to simplify the operational procedures and improve the efficiency of implementation. The distribution of medical and health resources in urban and rural areas and between regions is unequal . Finally, some measures to solve this kind of fairness problem are put forward: to increase the medical aid to vulnerable groups; to think more about the longitudinal fairness in the future health financing; to increase the investment in rural medical and health resources.