村卫生室新型农村合作医疗政策实施效果的影响因素及对策研究——以M县为个案  

Study on the Influencing Factors and Countermeasures of the Implementation Effect of the New Rural Cooperative Medical System in the Village Clinics——Taking M County as a Case

作　　者：程文兵[1] 张建[1] 孟彦辰[1] 张溪婷 齐韶涵 刘婷婷[1] 

机构地区：[1]首都医科大学卫生管理与教育学院,北京100069

出　　处：《中国初级卫生保健》2016年第8期16-18,22,共4页Chinese Primary Health Care

基　　金：首都卫生管理与政策研究基地重大项目(2015JD01)

摘　　要：M县2006年开始试点将9家定点村卫生室纳入新型农村合作医疗报销范围,逐步发展到全县的所有乡镇。在方便村民就近享受基本医疗服务的同时,也使得当地农村居民能够更好地享受到医改的红利。但新型农村合作医疗在村卫生室的实施过程中,也暴露出来一些问题:村医技术水平有限、村卫生室药品不齐全、医疗设备简陋缺乏和村医缺乏提供医疗服务积极性,未来应该真正落实乡村卫生服务一体化的管理体制,加强村卫生室的医疗设备和药品配备,完善现有的村医培训体系,实行全科诊疗模式的培训理念,切实提高村医的医疗技术水平。In 2006, M County began a pilot by introducing 9 village clinics into the new rural cooperative medical system. It graduallydeveloped to all the county＇s township. It was convenient for the villagers to enjoy the basic medical services nearby, while also mak-ing the local rural residents to better enjoy the health care reform bonus. It summarized some problems exposed in the implementationof the new rural cooperative medical system in the village clinics, including the limited village medical technology level, the deficientdrugs, the lack of medical equipment, the lack of motivation to provide medical services, and put forward some countermeasures andsuggestions. In the future, the government should really implement the management system of rural health service integration, guaran-tee the village clinics equipment and medicine supply, improve the existing village medical training system, implement the trainingconcept of general practice training mode and effectively improve the medical technical level of rural doctors.

关 键 词：村卫生室 新型农村合作医疗政策 影响因素 

分 类 号：R197[医药卫生—卫生事业管理]