新医改下的农村合作医疗制度新问题及其政策建议  

New Problems and Suggestions of New Rural Cooperative Medical System under New Healthcare Reform

作　　者：李立清[1] 吴倩文[1] 

机构地区：[1]湖南农业大学,湖南长沙410128

出　　处：《中国卫生事业管理》2014年第10期768-770,共3页Chinese Health Service Management

基　　金：国家社会科学基金项目"新型农村合作医疗可持续发展研究"(编号:11BJL038);湖南省哲学社会科学基金重点项目"湖南省城乡人口老龄化对医疗卫生支出的政策影响研究"(编号:13ZDB065)

摘　　要：新医改实施三年来,虽然政府加大了对农村医疗卫生的投入,但新型农村合作医疗制度也出现一些新问题亟待解决。本研究通过对湖南省的19个县(市、区)实地调研的数据分析发现,新医改下的农村合作医疗制度,突出存在着以包代管引致医疗服务质量下降、乡镇卫生院及其医生的积极性受挫、基本药物难以满足农村用药需求、村卫生室基本公共卫生服务功能衰弱等问题,并提出了相应的政策建议,加以妥善解决。Since the new healthcare reform conducted three years,the government lncreaseo me investment on rural system,but the New Rural Cooperative Medical Care System also appeared some new problems. By the field investigation of 19 counties of Hunan province, this paper found some outstanding problems of the New Rural Cooperative Medical Care System： de- crease of medical service quality, negative emotion of doctors in primary medical institutions, unsatisfied demand of essential medi- cine and weak function of basic medical service in village clinics. And this paper gave some suggestions to deal with above prob-

关 键 词：医疗体制改革 合作医疗 新问题 政策建议 

分 类 号：R197.1[医药卫生—卫生事业管理]