摘要
通过对2003-2012年2 010篇相关文献的归纳论证,新农合制度在运行中主要存在如下问题:(1)统筹层次低,筹资水平偏低,缺乏长效增长机制和公平性;(2)补偿方案的设计缺乏科学性,补偿比偏低导致受益人群较少;(3)基金管理透明度不够,管理成本高;(4)新农合医疗费用增长迅速,缺乏有效控费措施;(5)新农合的组织管理、资源保障、制度保障等方面不到位。上述问题均可归结为制度运行中的一系列关键技术难题未解决。因此,为促进新农合稳定运行,需重点完善两方面内容:一是形成新农合方案研制、修正、筹资增长测算的方法学思路,二是形成医疗费用控制方面的策略思路。
Through a literature review of about 2 010 papers from 2003 to 2012, the difficuhies during the implementation of New Rural Cooperative Medical System （ NRCMS ） were summarized as follows ： （ 1 ） The financing level was low and lacked a long-term steady growth mechanism of financing, and the county-based risk pool was too small. （ 2 ）Only a minority of rural residents have been benefited from NRCMS due to the unreasonable reimbursement policies. （ 3 ）Rural residents knew little about the operation of the funding and the management cost was high. （ 4 ）The medical expenses of NRCMS grew rapidly and there were no effective measures to control cost. （ 5 ）The organization management, resource and system guarantee of NRCMS were inadequate. The problems mentioned above all pointed to the urgent need to solve the technical difficulties in implementing NRCMS. Therefore, two issues should be addressed： one is the methodology of developing, evaluating and amending the schemes, the other is the strategies on medical expenses control.
出处
《中国卫生资源》
2013年第2期88-90,共3页
Chinese Health Resources
基金
教育部重大攻关项目(07JZD0017)
国家自然科学基金项目(70733002)
教育部创新团队项目(IRT0912)
国家社会科学基金项目(08CZZ022)
复旦大学"985工程"三期整体推进社会科学研究项目(2011SHKXZD020)
关键词
新型农村合作医疗
实施问题
文献论证
new rural cooperative medical system
implementation difficulties
literature review
