农村医疗救助的目标探讨  

Discussion on the Target of Rural Medical Assistance System

作　　者：陈千[1] 马玉琴[1] 汪博[1] 王浩[1] 孙宁[1] 

机构地区：[1]第二军医大学卫生勤务学系,上海200433

出　　处：《医学与哲学（A）》2014年第10期54-56,共3页Medicine & Philosophy:Humanistic & Social Medicine Edition

基　　金：国家自然基金青年科学基金项目"农村医疗支出型贫困人群医疗保障:需求;就医行为及政策建议";项目编号:71203230

摘　　要：为探讨新形势下农村医疗救助制度目标机制的设计,提高制度靶向的准确性及效果,利用定性分析方法,结合医疗救助制度的功能分析,对现阶段该制度的目标对象及纳入依据进行了分析。研究认为,农民的医疗需求具有必需品性质,救助的水平以新农合为基本依托,同时,农村城镇化发展带来新的弱势人群的医疗保障问题提示,需因时、因地、因阶段设计医疗救助制度目标人群的纳入机制,提出按城乡划分、按阶层划分、按收入划分作为目标机制设计的依托是解决当前农村救助制度不公平问题的有效方式。For discussing the target mechanism design of rural medical assistance system and improving the security of the system, this article analyzed the target and standards of the system combining the qualitative analysis method with the functional analysis. The results showed that peasants＇ medical demands are the basic demands of living, and the assistance level of the system is relied on the development of new rural cooperative medical system （NCMS）. At the same time, the urbanization reform in the rural areas had brought some new medical security problems of vulnerable group. These reminded us that some factors which included the social development period, the otherness of region, and the stage of nation social security reform should be taken into account in the coverage design of the rural medical assistance system. Therefore, it was the effective method to solve the inequity problem of the rural medical assistance system that designing target mechanism should based on the identification of the main living place, the social estate, and the household income.

关 键 词：农村医疗服务 医疗救助制度 社会保障 

分 类 号：R197[医药卫生—卫生事业管理]