自2003年以来,全国各地都陆续开展了新型农村合作医疗的试点工作,并取得了一系列的成果,但是在实践过程中也发现了许多问题,其中之一就是许多地方参合积极性出现下降趋势。2005年温家宝总理又提出要加快建立新型农村合作医疗制度。到2008年全国要基本建立新型农村合作医疗制度,这就对实践中的工作提出了更高要求。笔者试分析目前影响农民参加合作医疗积极性的一些因素,并提出了完善建议。 Since 2003, pilot projects for new rural cooperative medical care have been carried out throughout the country and a series of achievements have been achieved. However, many problems have also been discovered during the course of practice. One of them is the declining trend of participation enthusiasm in many localities. In 2005, Premier Wen Jiabao also proposed to speed up the establishment of a new rural cooperative medical system. By 2008, the country will basically establish a new rural cooperative medical system, which puts forward higher requirements for the work in practice. The author tries to analyze some of the factors that currently affect the enthusiasm of farmers participating in cooperative medical care, and puts forward sound suggestions.