As the civilization of individuals continue to improve, the use of the report grows more and more, we have to avoid excessive length when writing the report. I believe that many people will find the report is difficult to write it, the following is my compilation of the new rural cooperative medical insurance research report 3, for reference only, let's take a look at it.
New Rural Cooperative Medical Insurance Research Report 1
During the winter vacation, I tuned into a large number of online information about the new rural cooperative medical insurance. Understand that our country in recent years on the farmers' security system made some achievements I decided to use the winter vacation on the status of my rural cooperative medical insurance to conduct a simple investigation. I simply did a new rural cooperative medical mass questionnaire, access to the knowledge about the new rural cooperative, analyzed the main views of farmers on medical security. Overall understanding of the following:
First, about the new rural cooperative medical care
The new rural cooperative medical care, referred to as ? new rural cooperative medical care, referred to as the new rural cooperative medical care? , refers to the government organization, guidance, support, voluntary participation of farmers, individuals, collectives and the government of multiple financing, to the main medical co-ordination of farmers' medical mutual **** relief system. Take individual contributions, collective support and government funding to raise funds.
The new rural cooperative medical care is created by the farmers themselves, mutual ****ji medical security system, in the protection of farmers access to basic health services, to alleviate the farmers due to illness and poverty and return to poverty due to illness has played an important role. It provides a model for problems that are common to countries around the world, especially developing countries, and has not only been welcomed by the peasant masses domestically, but has also been well received internationally. The new rural cooperative medical care system has been piloted in some counties (cities) throughout the country since XX, and is expected to gradually achieve basic coverage of rural residents throughout the country by XX. According to the central government, the state council and the provincial government on the establishment of a new type of rural cooperative medical system of the implementation of the relevant spirit of the opinions, farmers of major diseases co-ordination work renamed the new type of rural cooperative medical system, the new type of rural cooperative medical care implementation of individual contributions, collective support and government funding combined financing mechanism, the financing standard can not be less than 30 yuan / person, of which the county financial subsidy of 10 yuan, the township financial subsidy of 5 yuan. Farmer financing 15 yuan. Summarized is to raise the financing, government subsidies, farmers benefit from a large surface, for farmers suffering from serious illnesses to establish a guarantee, the maximum payment amount of 200 yuan.
Second, the significance of the construction of the new rural cooperative
After more than two decades of reform and opening up, China's rural areas have undergone great changes, the economy has made great strides, however, the economic development has not given farmers in the problem of access to health care to bring too much benefit. China's population accounts for 22% of the world's population, but its health care resources account for only 2% of the world's resources. Of this 2% of medical resources, 80% are concentrated in cities. From 1998 to XX, the average annual growth rate of per capita income of farmers was 2.48%, but the average annual growth rate of health care expenditure was 11.48%, and the growth rate of the latter was nearly five times that of the former. According to relevant media reports, so far half of the peasants in rural China cannot afford to see a doctor for financial reasons. In economically developed areas like Guangdong, 40.08 per cent of the people have not sought medical treatment for their illnesses, and 23.35 per cent should be hospitalized but are not. In addition, the coverage of China's social security is still very narrow, not enough to solve farmers' ? worries? In the vast rural areas, the social security system is basically in a? blank zone. Disease, like a sword hanging over the heads of peasant brothers,? It is difficult and expensive to see a doctor. is a relatively common phenomenon in rural China at present. During the period of ?xx?, the process of China's economic and social transformation will be further intensified, and in order for this transformation to progress smoothly, the whole society needs to build a tight and reliable safety net. Therefore, the medical and health problems of farmers have gone far beyond the problem itself. Solving the farmers' difficulties in accessing medical care is not only a matter of respecting the farmers' minimum right to survival, but also an inevitable requirement for building a fair and just harmonious society. How to solve the farmers' difficulties in seeing a doctor? Looking back at history, we have solved this problem before, and under very difficult conditions. the 1993 World Bank annual development report "Investment and Health" states: ? Until recently, (China) has been an important exception for low-income countries? By the late 1970s, health insurance covered almost all the urban population and 85 percent of the rural population, an achievement unparalleled in low-income developing countries.? In the early 1980s, when the rural population was still 80 percent of the country's population, the country's per capita life expectancy had risen to 68 years, up from 36 years in the early years of New China. Experts recognize that the basis for this health performance, in? Putting the focus of medical and health care work in rural areas? The resource allocation pattern is supplemented by a three-tier public **** health and medical service network in counties and villages, and native-born and bred doctors in every rural community. Barefoot Doctors and the cooperative medical system. three great treasures? Therefore, to strengthen rural health work, the development of rural cooperative medical care, is the new era of building a new countryside in the title of the meaning, is very necessary.
Third, the historical drawbacks
Due to the constraints of economic conditions, in rural areas, ? The situation is commonplace, and the current situation is not only the case, but also the case of the hospitals. The situation is commonplace, at present due to the seriousness of the phenomenon of poverty due to disease, rural hospitalization and not live in 41%; western poverty due to disease amounted to 3?5 million. Seventy per cent of rural poor households are due to illness. Since 1985, although the income of rural residents has also been growing, the rate of increase has been significantly smaller than that of urban residents. Excluding price factors, rural residents' incomes grew at an average annual rate of 3.1 percent in real terms from 1985 to 1993, while urban residents' incomes grew at an average annual rate of 4.5 percent in real terms during the same period, and GDP grew at an annual rate of 9 percent. after 1988, rural residents' real incomes basically stagnated, with an average annual increase of only 1.4 percent in real terms from 1990 to 1993. However, at the same time, farmers' medical expenditure has risen sharply. In anhui province, for example, in the first three quarters of xx, rural per capita medical expenditure 42.82 yuan, compared with 37.69 yuan in the same period of the previous year, up 13.6%; of which 19 yuan per capita expenditure on medical and health care, has been close to the previous year's per capita annual expenditure of 20.2 yuan. 1990 per capita annual expenditure on compression therapy of 14.41 yuan, the highest ever in 1998 for 52.11 yuan in 1999, 51.65 yuan, increased during the xx years. 51.65 yuan, an increase of 2.52 times in XX years, while the growth of farmers' net income in XX years was only 2.52 times. Moreover, peasants have been excluded from the national security system. Rural social security has always been on the periphery of China's social security system, and a considerable part of the content of social security excludes the entire rural population from the security system. The level of economic development in China's rural areas is still very low, and most rural residents have low incomes and weak affordability; compared with the progress of social insurance reform in towns and cities, social insurance in rural areas is only limited to the pilot stage in some affluent areas, and family security is still the mainstay of social security in rural areas. Taking medical insurance as an example, China's current medical insurance reform is different from that of developed countries, the biggest reason being that it is not a universal health insurance scheme, but only a reform of medical insurance for urban workers, which is currently aimed at solving the problem of the excessive burden of publicly funded medical care and guaranteeing basic medical services. And although the rural cooperative medical system was once widely practiced in rural areas, it has gone through several twists and turns and eventually disintegrated for various reasons.
Fourth, the implementation of some of the problems
1, low social satisfaction
The most basic and important point of social insurance lies in that it emphasizes not the equality of individual cost and benefit, but the social satisfaction of the insurance premium. The new rural cooperative medical care as a kind of social insurance, benefited from the farmers and the government subsidized the source of funds of the taxpayers' satisfaction on its success or not has a pivotal role. The survey found that some farmers do not participate in the new rural cooperative medical care mainly based on the low level of protection of the new rural cooperative medical care, farmers do not understand it well, fear of policy changes, and think that it is to take their own premiums to compensate other people and other considerations. Farmers who participate in the new rural cooperative medical care are dissatisfied mainly because of the low level of protection and the cumbersome procedures for participation and claims. In addition, the policy is unfair, resulting in low social satisfaction with the new rural cooperative medical system.
2, the low level of protection
The new rural cooperative medical system is based on the coordination of major illnesses and claims for minor illnesses as the main farmers' medical mutual **** relief system. This definition shows that the new rural cooperative medical system is to help farmers with medical expenses and outpatient, bruises, etc. are not covered by the insurance, this provision makes the actual benefit of farmers is not as large as expected.
3, the new rural cooperative medical propaganda is not in place
Existing publicity more focused on the introduction of the new rural cooperative medical care to the farmers to bring the surface of the benefits of the farmers, did not set up a farmer's awareness of the risks, but also does not reflect the focus of the farmers who do not participate in the survey, so that most of the publicity stays in the form. Many farmers do not really understand the significance of the new rural cooperative medical care system, and they only consider it from the perspective of their short-term gains and losses. Since they are in good health and have a low probability of getting sick and being hospitalized, there is no need to spend that wasted money. Some farmers also think that it is just like the previous compulsory education deposit, which was eventually cheated by the government, and they think that they have taken their insurance money to compensate others. The publicity also did not send the specific claims criteria to the farmers, making them in the claims, see so many drug costs can not claim some farmers have been deceived by the feeling of being duped.
4, the new rural cooperative medical system of registration, claims procedures are too cumbersome
First, to participate in the new rural cooperative medical registration procedures are cumbersome. Secondly, the claims procedure of the rural cooperative medical care is also very cumbersome. The urban residents of the medical insurance can be used to mortgage part of the medical expenses, can be directly on the card to pay the medical bills, and then come back to settle the bill. Foreign medical insurance even allows hospitals and doctors to have a direct relationship of interest with the insurance company rather than the patient. Some of the new rural cooperative medical care is to farmers first advance, so that if some farmers can not borrow money or can not afford to see a doctor, and then holding the relevant procedures to the cooperative medical reporting center to declare, and finally to go to the credit union to receive money. Some villages are far away from the reporting centers and credit unions, and the round-trip fare is expensive. The cumbersome registration and claims process adds a lot of trouble for farmers and reduces their satisfaction.
All of the above are some of the practical problems I have learned from my work and surveys after reading a lot of relevant information. Some of the views on this national health care system. In this summer practice in the work at the same time I was y impressed by our country's attention to the three rural areas. In recent years the country step by step . Exemption of agricultural tax, school fees, and now in the new rural cooperative medical care and a series of favorable policies. I heard the nurse in the health center say that many kinds of vaccines are now free for children to be inoculated. By the way, one of the drawbacks I've noticed at work is that the paper forms that the doctors bring to me to enter into the computer are all very complicated, with multiple copies. I think that since they are already saved in the computer, they don't need to waste a lot of paper to make a quadruple slip, but a single slip will do. This is also very annoying to the doctor, after all, in the benefit of the people at the same time we should pay attention to environmental protection.
New Rural Cooperative Medical Insurance Research Report 2First, the investigation time: July 20, 20xx --- August 25, 20xx
Second, the investigator: xxx, xx
Third, Liangcheng Village, the basic information:
1, the village situation: Liangcheng Village, under the jurisdiction of the nine teams, with a total area of 3,200 acres, the total cultivated area of 2,200 acres, per capita arable land of 2 acres. Per capita arable land of 2 acres, of which 1,100 acres of rice area, dryland area of 1,100 acres,
2, the population situation: the village population of more than 2040 people, the agricultural population of more than 1,500 people.
3, the economic situation: the village's economic development is located in the office of the upper middle level, all agricultural areas.
4, the village **** 4 cadres, annual personal salary of 8000 to 10000 yuan, the village has a clinic, a library house, the village has a fixed office space.
Fourth, the research background and research content
I am also from the rural poor families out, so I am for the peasant patients? The problem has been y understood. Problem had a deep understanding, so when I became a college student, I am more concerned about this issue, and he into my research topic.
At present, China's expensive medical treatment is listed as one of the three major problems of the new people's livelihood. Most of the farmers due to the inability to pay high medical costs, often have a disease do not see, small disease drag big, big disease waiting for death, at the same time, they lack of health care knowledge and self-care awareness, more vulnerable to disease, due to poverty, due to disease, back to poverty, into a vicious circle. The lack of medical insurance has become a serious obstacle to the economic and social development of rural areas, and then in this context, the new rural cooperative medical system in October 2002 was born.
The new rural cooperative medical system is organized, guided and supported by the government, farmers participate voluntarily, individual, collective and government financing, with the main focus on the coordination of major illnesses of the farmers' medical mutual **** relief system. Since its inception in 2003, there have been a number of pilot projects throughout the country, and the cooperative medical system is gradually developing and improving. The content of my research is centered on cooperative medicine, through the understanding of the implementation of agricultural medical and villagers on the degree of satisfaction with the cooperative medical, in order to further identify problems and put forward some suggestions.
And as the state puts forward a measure of benefit to the people, the implementation of the new rural cooperative medical system does bring certain benefits to the farmers, but the middle also appeared a lot of problems, so I use my spare time to the village of the cooperative medical issues related to research, through the research activities, the village of the cooperative medical situation has a certain understanding of the implementation of the strengths and weaknesses in the initial summary, so as to the overall situation for the approximate statistics, the village of the cooperative medical situation, the village of the cooperative medical situation is a good place to start. In order to make the overall situation for the general statistics!
V. Specific work
During the research period I visited the form of understanding of the cooperative medical issues, and then in the form of household interviews to understand the specifics, and summarized the village of my cooperative medical details. My village has a cooperative medical designated clinic, in the center of the village, most of the villagers see a doctor in the village clinic. The doctors in the village medical clinic have practicing certificates, and farmers are guaranteed to see a doctor in the village health clinic. When we talked to the doctors, we learned that: ? The insurance amount paid by the farmers all belongs to the farmers, and each person can enjoy a reimbursement of 200 after the insurance fee is paid. Patients hospitalized in township hospitals can enjoy 80% reimbursement, and patients hospitalized in municipal hospitals can enjoy 50% reimbursement. The provincial hospital can enjoy 40% of the reimbursement.
When we talked to the farmers, we learned that they are very satisfied with the new cooperative medical care. They said: "Now it's convenient and cheap to see a doctor. Now it is convenient and cheap to see a doctor, the village doctor has a good attitude, the villagers are assured of seeing a doctor, and now there is no worry about a serious illness, the state can reimbursement. The above is our conversation and questionnaire when they mentioned, the truth of which is for everyone to think about it!
The proportion rose from 90% in 2007 to 95% in 2008, the village's cooperative medical propaganda efforts increased year by year, the propaganda approach is also increasing! At the same time, due to a part of the beneficiary families in 07, they unknowingly play a propaganda role, and the support of the state is more this system continues to expand the solid backing.
The issue of reimbursement is a big problem in cooperative medicine. At first most villagers said they were afraid of the trouble, afraid of wasting more human and material resources and do not want to go to reimbursement: some villagers also said that reimbursement to go through the ? Some villagers said that the reimbursement has to go through the back door. and they have no money, no power, it is better not to suffer from this? There are also villagers think that the family are in good health, did not and will not meet the reimbursement of the matter, and therefore indifferent to the matter; there is also a part of the villagers so that the explanation does not understand the reimbursement rate, reimbursement process, embarrassed to ask those who have done the reimbursement of the family, that is an invasion of privacy. Some of the villagers who were reimbursed said that Dr. Flag's service attitude was good, and he would fill in the form for you every day, and if you were not clear about anything, they would point it out to you. Later, through the government departments to increase the density of propaganda, the village committee team personnel merchants to explain, so that the masses understand the benefits of cooperative medical care, village cadres to help farmers to the town of cooperative medical care site reimbursement. The masses gradually understand the benefits of cooperative medicine, from reluctance to participate in cooperative medicine to voluntary participation.
We learned from the reimbursement of more than one family, husband and wife at the same time sick, the treatment of the disease so that they owe debt, so that the family is not rich is more stretched. Although the compensation is less, not enough to fill their family vacancies, but from one side can make the people left behind to get a touch of comfort, is also considered to be the country to give us an account. From this it can be seen, because of the disease to poverty in rural areas is still relatively common, want to completely realize the ultimate goal of cooperative medical care, there is still a long way to go. The other villagers have learned that they are quite satisfied with the compensation from the state.
Sixth, research and analysis
The research found that the new rural cooperative medical care in Liangcheng Village has a very good start, and 98% of the participation rate can better illustrate the feasibility of this policy. At the same time, we should also identify potential problems from the actual.
1, there are still individual farmers who do not participate in cooperative medicine, there are still questions about cooperative medicine. There are two more special households: one is a retired old teacher, the state subsidy is better, and the daughter is married away, the old man's health is very good, so the cooperative medical care is very unconcerned. The other household thinks that they usually do not have any serious illnesses and do not need to see a doctor, so they do not do the cooperative medical card. From this we can see that, firstly, publicity is in place, but explanations are not. Although they are aware of this policy, the specific implementation process and implementation content are not clear to the farmers. Most people still join with the mainstream, and do not care about the details, easy to eat dumb losses. Second:? There is no need to? My family has money and my family members are in good health, so I don't need to join. Third: The government is giving me subsidies, but you are asking me to pay for participation, this is a losing business I will not do it! The first thing I want to do is to get the money from the government to pay for the subsidy.
2, the villagers to protect their own rights and interests of the awareness is not strong, can not keep abreast of the changes in policy, the above said that there is a family two years did not use the cooperative medical book, but did not ask the village cadres to open the certificate, leading to see a doctor and do not add the same cooperative medical care, which leads to the implementation of the policy obstacles to the implementation of their own rights and interests are not realized. And some villagers never take the cooperative medical care book, ask for the reason, either say forget to bring, or do not know how to use.
3, the quality of doctors need to improve, drug prices should be clearly marked, on the above mentioned to take the phenomenon of cooperative medical book price increases, on the one hand, should be clearly marked to prevent unscrupulous people from the price of drugs on the people's ideas. On the other hand, we should strengthen the quality of the training of doctors and strictly hold the talent level.
4, the reimbursement ratio is small, narrow, anti-poverty due to disease occurs from time to time, in the current rural areas can not be avoided. And reimbursement can only be ? Aftermath? , many high-tech treatment costs are not within the scope of reimbursement, which makes many villagers feel puzzled. Many farmers hope that there is a better reimbursement system that can really meet the real needs.
5, farmers in the new rural cooperative medical care in a passive position, ? participation rate? high and? participation? low. Liangcheng Village, a total population of 2040 people, of which 1500 agricultural population, according to statistics to participate in the cooperative medical care of rural residents amounted to 1980 people, the participation rate of more than 95%, however, I feel in the household, many farmers treat the cooperative medical care actually skeptical and wait-and-see attitude.
As a? The new rural cooperative medical care system is a new policy. Here, the government and the management of the health center is rightly the main body of the operation, the flag and township levels of public medical institutions are also proactive, the farmers are in a completely passive state, be propaganda, be mobilized, be required? Always passive farmers do not seem to know that they should be the owners and beneficiaries of cooperative medical care. Despite the fact that the authorities concerned have obtained a high mobilization and persuasion? participation rate? the farmers' participation rate has been high, but in reality, the farmers' participation rate is not as high as it should be. participation rate? is not high, that is, the degree of inner recognition, trust and confidence is insufficient and enthusiasm is not high.
VII. My suggestions
After the research, I summarized the problems I found:
First: in increasing publicity at the same time, can be more in-depth, more detailed to the villagers to explain to the rules and regulations of the cooperative medical care, so that the farmers to make a good understanding of the situation. If necessary, regular training courses can be organized to invite experienced personnel to explain the relevant information, but also to invite beneficiaries to dedicate themselves to teaching.
Secondly, farmers are the main force behind cooperative medicine, and only when they are truly mobilized can cooperative medicine be considered a final success.
Third, the quality of grass-roots cadres and medical personnel needs to be improved, as the saying goes: a dead mouse spoils the pot of porridge. If because of a person's mistakes or faults and affect the implementation of the whole policy is not worth it. And talent is the key, so we must effectively put a good talent level, the government should be extremely strict in the selection of talent, from the source to prevent the occurrence of similar events.
Fourth: the price tag, daily part of the drug prices announced, so that farmers see, understand the specifics of the drug prices, and really let them make to the heart of the matter. And increase the supervision, if possible to allow farmers to participate in the supervision, prevention in the people, for the people.
VIII. Conclusion
Through this research, I take the cooperative medical care as the main entry point, a more in-depth understanding of the current rural areas of some of the basic situation. In this vast land in China, perhaps Liangcheng Village can not be called the typical rural areas, but through the work of the village branch of the cadres over the years, I personally feel that Liangcheng Village cadres and the masses are trying to find a way out, and strive to catch up with the pace of the times, to become a demonstration point of the new countryside.
The implementation of the new rural cooperative medical system is in line with the immediate interests of the majority of farmers, and is conducive to the coordinated development of China's urban and rural areas and constantly narrowing the gap between urban and rural areas. He was not smooth at the beginning of the implementation stage, there must be a lot of practical problems, which need to be in the process of promoting the continuous accumulation of experience. I believe that it in our party and the people's continuous efforts, will be China's rural cooperative medical insurance business reform in a successful model, will be for the current construction of a new socialist countryside great cause to add bricks and mortar.
New Rural Cooperative Medical Insurance Research Report 3The new rural cooperative medical care is a huge systematic project carried out by the state on the basis of proposing the construction of a new socialist countryside in order to accelerate the establishment of a rural medical security system, improve the health of farmers, and better promote the integrated and coordinated development of the urban and rural socio-economic. In order to ensure the smooth implementation of this work, xx in the flag of the flag government's unified leadership and deployment, carefully organized, pay close attention to the implementation of the majority of the rural masses actively participate in the town's initial establishment of a major disease co-ordination, medical assistance and rural medical and health services of the new rural cooperative medical system. In order to effectively consolidate this system, and further explore the establishment of healthy and sustainable development of the long-term mechanism, xx CPPCC group on the new rural cooperative medical work and operation of research activities. Now the research report is as follows:
First, xx new rural cooperative medical work status and effectiveness
xx is 20xx after the reform of the township institutions, by the original xx three towns in one big town, **** there are villages (neighborhood) committees xx, the resident population of xx people. Among them, the number of agricultural households xx households, population xx people, per capita net income of farmers xx yuan, township health center 3, village health room xx, rural doctors 74 people. As of the end of April this year, the township **** completed the enrollment of the population xx people, the participation rate of 82.1%.
The main work results:
(a), strengthen leadership. The town party committee government from the practice of ? Three Represents? Important thought and the integration of urban and rural development of major strategies, according to the flag government guidance, combined with local realities, the development of a new rural cooperative medical implementation program and related systems, set up to the mayor of the town as the leader, the mayor in charge of the town as the deputy leader of the relevant departments to participate in the leading group, the villages (neighborhoods) also set up a leading group accordingly. In order to ensure the smooth running of the work, the town government to implement the progress and effectiveness of the village (neighborhood) included in the target management responsibility system, the end of the year to honor the rewards and punishments.
(2), carefully implemented. 20xx February 23, the town government held a town of rural cooperative medical work mobilization meeting, widely publicized the superiority of the new rural cooperative medical system, and actively guide and mobilize the majority of the rural masses to participate. The town also deployed 58 cadres to 29 villages, together with the village cadres door-to-door publicity and mobilization. Through the posting of slogans, the distribution of publicity brochures and other forms of publicity, greatly mobilizing farmers to participate in the enthusiasm to ensure the successful completion of the financing work and the smooth implementation of the system.
(C), standardized management. In order to cooperate with the flag of the work of the Office, the town government has also set up a new rural cooperative medical office, the village (neighborhood) members set up a liaison officer for the standardized management of the rural cooperative medical system provides an organizational guarantee. Continuously improve the new rural cooperative medical rules and regulations, standardize the management of the town designated hospitals, simplify the settlement and audit procedures, the implementation of the service commitment system, and strive to provide quality services for the masses. At the same time to strengthen the management of the fund, set up a special account of income and expenditure in the financial institutions, strict audit, to eliminate unreasonable and illegal compensation expenditures, regular notification and acceptance of the higher financial, audit departments and the masses of supervision.
(D), the new cooperative medical main changes. From the survey: First, it reduces the burden of farmers to see a doctor, to a certain extent, to solve the problem of farmers returning to poverty due to illness, poverty caused by illness. As of the end of June 20xx, xx **** for a sick farmer to compensate for medical expenses yuan, of which outpatient compensation for people, pay yuan; hospitalization compensation for people, pay yuan; some people get more than 4,000 yuan of compensation, the highest one is xx village xxx, medical expenses yuan, compensation for yuan. The second is to improve the rural maternal hospital delivery rate, according to the survey, at present more than the maternal to the medical delivery, to ensure the safety of mother and child; third is to enhance the farmers' awareness of self-care. In the past, many farmers, because of the difficulties of their families, tended to? Major illnesses dragged, minor illnesses suffer, to death before carrying to the hospital? The first time to see a disease is often a last resort. Fourth, the promotion of rural medical institutions to improve the level of service. At present, the three designated hospitals in XX are able to actively improve the hardware and software environment, strengthen the system construction, publicize the price of medicines, strengthen the medical management, and do everything possible to improve the level and capacity of the hospitals. By improving services and reducing costs, the number of outpatient visits and hospitalizations have risen substantially, and the economic and social benefits of the hospitals have improved.
Second, the new cooperative medical care facing new problems
The new rural cooperative medical care is a long-term arduous social security project, the implementation of the beginning, there are still many difficulties and problems, mainly in the six aspects:
(a) publicity and guidance is not deep enough, the farmers to participate in the enthusiasm needs to be improved. Due to the implementation of the process, on the one hand, due to time constraints, heavy task, policy publicity and guidance work is not yet deep enough, on the other hand, the farmers of the major disease co-ordination based on the lack of experience experience of the new rural cooperative medical work, and the old system is blurred, the long-term implementation of the lack of confidence, resulting in some of the farmers to participate in the insurance is not very high, the initiative to voluntarily participate in the not so much.
(2) The audit and settlement process is still complex, the convenience of the service needs to be further optimized. Due to the remoteness of some of the farmers from the designated medical center, the lesser medical expenses, coupled with the round-trip fare farmers believe that the loss is not worth the gain.
(C) There are still some unscientific and reasonable places in the policy and system. The main performance in the reimbursement of the threshold is high, the reimbursement rate is low, the reimbursement of the narrow surface of the drug, too many restrictions. (iv) Lack of supervision of designated hospitals. It is difficult for the township government to manage the hospitals, and it can only rely on the supervision of the drug supervision department, which puts the government in an awkward situation. On the one hand, the government actively do the work of the masses to improve the participation rate; on the other hand, the hospital drug prices are not high, the farmers and pharmacies to buy drugs a lot of difference, affecting the enthusiasm of farmers to participate in the insurance.
(E) township medical institutions facilities are outdated. Due to the downturn of the township hospitals in recent years, the state's investment in hospitals and a serious shortage of equipment, resulting in more obsolete, a serious lack of health care personnel, many diseases do not have the technical means of treatment. Farmers reflect, really see a doctor still have to find the county and city hospitals above the treatment.
(F) Farmers' expectations are too high. Farmers believe that only with the "cooperative medical card", into which level of hospital treatment should be their own decision, do not want to be bound, especially after hospitalization, a look at the money spent, reimbursement and less, there are complaints.
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