政府建设农村医疗卫生的依据和职责定位  

Evidences for Government Constructing Rural Health Service and Position of Obligations

作　　者：厉昌习[1] 薛兴利[1] 

机构地区：[1]山东农业大学经济管理学院,山东泰安271018

出　　处：《中国卫生事业管理》2008年第3期156-159,共4页Chinese Health Service Management

基　　金：山东省社科规划项目<农村医疗及其保障体系建设中政府行为研究>(编号:06JDJ07)

摘　　要：大量存在的农民因病致贫和因病返贫是农村医疗卫生体系不健全、保障制度缺失的表现。农村医疗服务的特点、医改过度市场化和政府干预不力导致农村医疗网络破损;保障制度建设尚处于起步阶段,由于制度环境、监管等原因导致制度实际效力低下。因此政府一方面要完善和维护好农村医疗卫生网络,发挥网络的整体功能,另一方面应在制度建设的全过程——目标规划、制度设计、实施和监管中承担起责任。全面落实政府的责任还应建立起政府和农民之间的信任关系,适时推进政策的法制化。The commonly existing phenomena that farmers falling into poverty and going back poverty for diseases demonstrates that rural medical service system is imperfect and the medical insurance system is absent. The characteristics of rural medical service, over ： market of medical service and weakness of government interference result into damages of rural medical network. The construction of medical insurance system is just at starting stage and its actual effect is low for system environment and supervision. Hence, on one hand, government should perfect and maintain rural medical service network and make full use of integrative functions of network; on the other hand, government should responsible for all process of system construction that includes object plan, system design, implementation and supervision, To comprehensively fulfill government＇s responsibilities, it should establish trust relationship between government and farmer and make policy law step by step.

关 键 词：农村医疗卫生 农村医疗卫生体系 农村医疗保障 政府职责 

分 类 号：R197.1[医药卫生—卫生事业管理]