政府建设农村医疗卫生的依据和职责定位  

Government Duty and Theory Basis in Building Health and Medical Care Systems in Rural Area

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：《中国卫生经济》2008年第12期27-30,共4页Chinese Health Economics

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(06JDJ07)

摘　　要：大量存在的农民因病致贫和因病返贫现象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,由于制度环境和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 reason why the peasants who live in poor or return to poverty because of illness is that they are short of health and medical network and medical care systems. The characteristics of rural area medical serves, market-oriented reform of health and medical organizations and government interventions inefficiently lead to rnral area health and medical network damage . Building rural medical care systems is just in the beginning, because system environment and inspection, their actual effect is low. Therefore the government needs to perfect the rural area health and medical network on one hand; on the other hand the government should play an more important role in building the systems. In order to play the role the government should build up the trust relation between the government and the peasant, and institutionalize the policy at the fight moment.

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]