农村医疗保障制度是我国医药卫生体制改革的改革重点之一。在市场经济体制下,农村医疗保障制度中农民、医疗服务提供方和管理机构三个行为主体变成了相互独立的三角利益交换关系。应当如何看待三方的利益博弈,分析三方的行为模式,处理新形势下不断出现的新情况,将会成为新医改从经济向公益转化的成败关键。 Rural medical security system is one of the reform priorities of China’s medical and health system reform. Under the market economy system, the three actors of the rural medical security system, peasants, medical service providers and management agencies, have become independent triangular exchange of interests. How to treat the tripartite game of interests, analyze the tripartite patterns of behavior, and deal with the emerging new situations under the new situation will become the key to the success or failure of the new medical reform from the economy to the public interest.