Practice has shown that the new rural cooperative medical care system has played an important role in improving the medical situation in rural areas, raising the health level of farmers, and reducing the economic burden of farmers seeking medical treatment. The following is my recommended 2000 words on medical treatment of the gross thesis, I hope you like it!
The Maoist thesis on medical 2000 words a"On the new rural cooperative medical system of a few thoughts"
[Abstract] The new rural cooperative medical care is an important system in the development of rural health. Since the new rural cooperative medical system has been comprehensively promoted, it has been generally welcomed by the masses of farmers and has achieved obvious results, but some new problems have arisen in the implementation process. How to improve and perfect this system has become a topic of great concern to researchers in different disciplines. In this paper, for its implementation of the process of problems, put forward a few suggestions to improve the new rural cooperative medical system.
[Keywords] New Rural Cooperative Medical System; Three Rural Issues; Medical System
[Classification Number] R-01 [Literature Identifier] B [Article Number] 1673-7210(2009)03(c)-116-02
The New Rural Cooperative Medical System (NRCMS) is the most important form of medical protection in rural China at present, and the design of its policy requires the government to provide basic medical and health care for rural areas. Its policy design requires the government to provide basic medical and health services for rural areas and fair medical protection for farmers. Practice has shown that the new rural cooperative medical system has played an important role in improving the medical situation in rural areas, raising the health level of farmers, and reducing the financial burden of farmers seeking medical treatment. However, while the new rural cooperative medical care has achieved great results, there are also some new problems. Therefore, how to improve the new rural cooperative medical system is currently facing an important issue.
1 improve the participation rate of farmers
1.1 Greatly develop the rural economy, from the source to solve the problem
Many places where farmers can not afford to see a disease, even after participating in the new rural cooperative medical care will still be worried about seeing a doctor, and the ultimate root cause of this is the farmers? The final root cause of this is the farmers? Not drum, rural economic development is still slow, suffering from serious illnesses do not have enough financial capacity to bear. To fundamentally solve this problem, we must change the farmers? Waiting, wanting, relying? Ideas, will support the investment of agricultural funds to improve the basic construction of farmland water conservancy, adjusting the structure of agricultural industry, the development of large-scale operation, improve the scientific and cultural quality of farmers, to help farmers to set up professional associations and organizations, and broaden the market information channels, etc., and vigorously develop the rural economy, the rural economy from the rural economy most need to pay attention to the most important problems need to be solved to start, due to the policy, due to the county, due to the township, due to the village, the current policy to benefit the rural community! Resources are integrated to promote rural economic development and maximize social benefits, and build a long-term operational mechanism for rural economic development.
1.2 Focus on the real interests of farmers, expanding the benefits of participating farmers
Farmers' awareness of risk is relatively poor, so it is necessary to increase the guidance and support for areas that have not yet carried out a new type of rural cooperative medical care, especially for the old, few, border, mountainous, and poor counties (municipalities and districts) should be given key support in terms of policy and funding to ensure that these counties (municipalities and districts) a new type of rural cooperative medical care system To ensure that these counties (cities and districts) can successfully launch and realize the comprehensive coverage of the new rural cooperative medical care system. Areas where new rural cooperative medical care has been carried out should, according to different local economic conditions, formulate the principle of integrating major diseases and taking into account compensation for minor diseases, implement a system of compensation for outpatient medical expenses, and in addition to reimbursement of outpatient medical expenses incurred by farmer patients participating in the new rural cooperative medical care in designated medical institutions according to a certain percentage, incorporate children's health care, maternal health care, and prenuptial checkups into the scope of reimbursement, and formulate preferential policies for the reimbursement of chronic diseases. The government has also formulated preferential policies for the reimbursement of chronic diseases. At the same time, actively explore the hospitalization and outpatient compensation program, should ensure that the proportion of the fund used for outpatient compensation of not less than 20%, so that the farmers of the common and frequent diseases get early diagnosis and treatment [1].
2 Expand funding channels
In following the principle of voluntary participation of farmers in the new rural cooperative medical care, to ensure the stability of funding, the government departments can give full play to their functions, clarify the government's responsibilities, standardize the government's inputs, determine the socialization of diversified funding channels, and make efforts to expand the sources of funding, improve the multi-party funding system mainly funded by the government, and establish a stable growth mechanism for the amount of funding. In the financial budgets of governments at all levels, it is necessary to reasonably determine the proportion of total financial expenditures that should be contributed by the government, and the government's contribution to the new rural cooperative medical care should be increased with the economic and social development and the growth of financial income, and to establish a mechanism for stable growth in the amount of funding for the new rural cooperative medical care [2]. At the same time to encourage the mobilization of enterprises, all sectors of society and the first rich individual businessmen and so on for the cooperative medical fund for fund-raising. Take some socialization, market-oriented approach to co-ordinate or transfer part of the funds to enrich the cooperative medical fund plate, improve the ability to resist risk.
3 Strengthen the management of funds [3-4]
The function of the new rural cooperative medical system involves health, finance, agriculture, civil affairs, poverty alleviation office and other departments. In order to improve its organization, coordination and management, governments at all levels should form a new rural cooperative medical care committee, which has offices responsible for specific operational work. Explore the implementation of ? Levying, management and supervision. Phase separation system. On the one hand, the new rural cooperative medical care office should regularly report to the new rural cooperative medical care committee on income and expenditure, and accept the supervision and inspection of the supervision committee; on the other hand, strengthen the financial departments and audit departments to supervise and inspect the funds of the new rural cooperative medical care. The new rural cooperative medical care management organization, farmers participating in the new rural cooperative medical care and medical units are constantly improving the tripartite constraints mechanism. The new rural cooperative medical management department should grasp the new rural cooperative medical settlement software development and application work, the establishment of a strict financial management system; the use of information technology means, strengthen the monitoring efforts to achieve the management of specialists, earmarked for special purposes; the implementation of a strict reporting, auditing and supervision system; to protect the right to participate in the farmer's masses, the right to know and the right to supervise.
4 Improve the supervision and management mechanism
The new rural cooperative medical services are highly specialized, making it difficult to form an effective competition in the medical services market, so the government's effective intervention and active involvement is an important prerequisite for coordinating the rational operation of the new rural cooperative medical care and the services of its designated medical institutions. The government can regulate the quality and price of medical products and services and their providers; give full play to its role through the establishment of appropriate incentive mechanisms and create the necessary conditions. By regulating market access, public **** subsidies, the implementation of the policy of not distributing profits to non-profit organizations and the market order, it establishes and maintains an environment of fair competition for multiple supplying entities. The introduction of competition in the medical industry is conducive to improving the level of medical services, optimize the structure of medical and health resources, and can, to a certain extent, inhibit the growth of medical costs.
5 Integration of health resources
5.1 Increase the input of grassroots health resources, and establish a perfect three-tier medical and health network
Through the fight for health fund projects and other means, increase the investment in township sentinel hospitals, medical equipment, business premises and other infrastructure, to improve the medical environment of the townships and reduce the disparity between urban and rural health resources, so that the farmers who are sick have the conditions and willingness to be close to the clinic. (c) To improve the medical environment in townships and villages so as to narrow the gap between urban and rural health resources, and to enable farmers to have the conditions and willingness to receive medical treatment close to their homes when they fall ill. At the same time, attention has been paid to the integration of rural medical and health care resources and the establishment of a working mechanism for improving the efficient operation of the medical and health care network at the county, township and village levels. (1) Accelerate the reform of the rural health system and operation mechanism. Breaking the boundaries of sector and ownership, taking into account the overall situation, reasonable rationing, optimization of health resources, and gradually formed to township health centers as the technical guidance center, the village health room for the service point of the rural health service system, the economically developed areas can be implemented in the rural community health service construction project, to ensure that the vast rural hinterland has qualified medical personnel to sit in on the clinic, there is a guaranteed supply of medicines, there is a good supply of medical facilities to let the peasantry The masses **** enjoy [5-6]. ② Guide rural health organizations to change their service model. Gradually establish a new medical and health service system with rational division of labor and two-way referral between medical centers and rural community health service institutions. Focusing on the construction of grassroots service system, providing various preferential service measures for farmers participating in the new rural cooperative medical care and enriching the connotation of the new rural cooperative medical care. Reasonable diversion of patients, outpatients, chronic patients, rehabilitation patients gradually diverted to rural community medical institutions, the formation of minor illnesses into the community, major illnesses to the hospital's reasonable pattern.
5.2 Strengthen the construction of the rural medical team and improve the level of medical and health services
On the one hand, consideration should be given to the implementation of the model of directed training of community general practitioners through some of the medical schools. To the townships to provide general medicine specialized medical personnel, improve the professional skills of medical personnel; select and send some of the love of health career of junior and senior high school graduates to colleges and universities for ? Fixed-order training? , the implementation of fixed-point allocation, training to stay, high-quality rural doctors; the establishment of urban and rural counterparts to support units, free training and receive grass-roots personnel for further training, and constantly improve the professional and technical level of medical personnel. On the other hand, it is necessary to strengthen the medical ethics and education, and improve the conscientiousness of clean medical practice. Using a combination of self-evaluation and organizational assessment methods, the quality of service, patient satisfaction as the specific content of medical ethics assessment. At the same time, organized and planned selection of outstanding medical workers, driving all medical staff to adhere to the ? Patient-centered? service consciousness and the correct concept of efficiency, really do? Virtue of medical practice, skills to support the medical? The company has also established a good social image, thereby enhancing the trust of farmers in the medical institutions, and improving the enthusiasm of farmers to participate in the new rural cooperative medical care.
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