Activity purpose: youth dedication and harmony Concern about cooperative medical care Concern about the new countryside
Second, the object of the activity: all villagers in xx village, xx township, xx city, xx province
Third, the activities of the project and the purpose of the project: the development of the questionnaire on the cooperative medical care, will be distributed to the villagers to fill in the villagers have an objective and sobering understanding of the implementation of the cooperative medical care, the activity to enhance the farmers' understanding of the cooperative medical care. The implementation of cooperative medicine has an objective and sober understanding of the situation, through this activity to enhance the farmers' understanding of cooperative medicine, the main purpose of this practice in the rural and medical institutions through the survey, in-depth rural areas, in-depth farmers, in-depth rural health care status, picking the voice of the farmers, so as to understand the situation of farmers on the new rural cooperative medical insurance, the farmers on the new rural cooperative medical system of the degree of knowledge and understanding of the situation, and related to the degree of satisfaction with the medical situation. medical situation. We will find out the problems and shortcomings of the new rural cooperative medical system, so as to provide the government with all the help it can for solving problems, formulating new programs, collecting data and sources of relevant information. The new rural cooperative medical system will be improved to better meet the needs of the farmers and better serve the farmers. In this practice, but also to better enhance their own social practice service skills and experience, for the new countryside and harmonious society
Contribute to their own strength
This summer, I participated in my town by the community two committees organized by community members *** with the participation of the new rural cooperative medical care small research activities, through visits to the residents of the area, understand the farmers, listen to the community cadres old situation By visiting the residents in the area, understand the farmers, listen to the community cadres, have a preliminary understanding of this work. In October 2002, the State Council convened a national conference on rural health work with the participation of key leaders from all central government departments and provincial governments, after which the Decision on Further Strengthening Rural Health Work was issued in the name of the Central Government and the State Council. It was emphasized that governments at all levels, from the central to the local level, should attach great importance to rural health work, strengthen leadership, increase investment, optimize the allocation of health resources, gradually narrow the gap between urban and rural areas, establish and improve the rural health service system, and set up and improve the new rural cooperative medical care system and the medical aid system and so on. Municipal People's Consultative Conference soon at the beginning of 2003 organized a rural health work special research, which on the new cooperative medical care mapping survey is one of the themes of the research. I participated in this research, I personally felt the majority of farmers at that time on the implementation of this policy skeptical, wait-and-see attitude, including some of our grass-roots cadres to carry out this work is not enough confidence, here to talk about their own feelings.
One, the residents of this policy attitude
Most residents of the implementation of this policy to support and participate in my community residents to participate in the rate of more than 95%. There are also some residents who lack understanding of the system and have a wait-and-see attitude. Due to the disintegration and decline of the old rural cooperative medical system has brought a lot of inconvenience to the farmers, the rural public **** health, preventive health care significantly weakened, new public **** health problems continue to emerge. Medicine costs continue to rise, the majority of farmers are overwhelmed, can not see the disease, can not afford to see the disease is quite common. Surveys have shown that when the masses are sick, 38 per cent of them should seek medical attention but do not, and 29 per cent of them should be hospitalized but are not. There has been a marked increase in the number of farmers who have been impoverished and returned to poverty because of illness. Farmers are eager to change the status quo, and the new rural cooperative medical system, it is from the masses to solve these problems as a starting point for the masses to do good things for the masses to do practical things, so that most of the farmers' concepts and mentality changed, more and more people began to take the initiative to ask for participation.
Second, the characteristics of the new cooperative medical system
Compared with the old cooperative medical system in the past, there are many differences, mainly:
1, the new cooperative medical system is organized, guided and supported by the government; while in the past, the cooperative medical system relies on the village community to organize itself.
2. The source of funds for the new type of cooperative medical care mainly relies on multi-party financing with the government's input as the main source; whereas in the past, the funds for cooperative medical care mainly relied on individual contributions and subsidies from the village collective economy, and the government's finances at all levels did not bear the responsibility for financing.
3. The new type of cooperative medical care is based on the "comprehensive management of major diseases", which focuses on solving the problem of poverty caused by illness and returning to poverty because of major illnesses; whereas in the past, cooperative medical care mainly solved the problem of minor injuries and illnesses, and had a poor risk-resistant capacity.
4, the implementation of the new cooperative medical system to the county as a unit of coordination and management of the system, the scope of coordination is large, the role of mutual aid *** relief is large; while the past of the cooperative medical care are generally to the village as a unit of coordination, a small number of townships as a unit of coordination, the ability to mutual aid *** relief is small.
Three, problems and relative recommendations
One, the pilot of the new cooperative medical system problems
(a) rural health care foundation is still weak
The establishment and improvement of the new rural cooperative medical system, the requirements of the rural health care system of the elements of the optimization of supporting. Although each township in the county has a health center, but the quality of doctors is not high, most of the health school graduates, the health center health conditions are poor, medical equipment is insufficient, a serious lack of high-tech instruments. Although the farmers participated in the new rural cooperative medical care, but the basic medical insurance conditions can not keep up, medical conditions have not improved.
(2) the ideological and moral quality of farmers and scientific and technological cultural level needs to be improved
City farmers due to cultural quality and economic income constraints, affected by the traditional concept of life, especially in the current economic conditions are not yet generous, to pay their own money to protect their own health is not a strong sense of awareness, part of the farmers and herdsmen have a fear of loss of thought. Although it was found in the survey that the vast majority of farmers and herdsmen hope to have basic medical protection, but there is a sense of fluke in medical consumption, compared with the rigid expenditure on food, clothing, children's schooling, etc., that spending money on medical treatment is currently secondary and incidental, and lack of sufficient awareness of the potential medical risks.
(C) the publicity work is not in place
Survey found that 93 of the farmers only know the new rural cooperative medical system, and know little about the specifics of this system. In the survey, the insured farmers do not know the cooperative medical starting point, the maximum compensation limit and reimbursement rate of 89.15, 75 and 96 respectively. the vast majority of farmers and herdsmen only know that the individual to pay 10 yuan, that can be reimbursed for the medical expenses, and the basic sources of financing, medical compensation standards, fund management, cost reimbursement procedures and other major content of a complete lack of knowledge or know very little about the part of the farmers to see the sick reimbursement, spend more money to reimbursement. This makes some farmers feel that they can't be reimbursed for the medical expenses they have incurred, that they have spent more money than they should have, that the reimbursement procedures are complicated, and that there are unfair phenomena such as favoritism towards relatives and friends. Thus, to varying degrees of grievances, this is the breadth of publicity is not enough, publicity is mostly simple, mechanical distribution of some publicity materials, but not the patience and meticulous work of publicity. Not only to make this system a household name, but also to make the main content known to everyone.
(d) Complicated reimbursement procedures and low reimbursement rates.
In a survey of what they hoped for in the new rural cooperative medical insurance program, 100 farmers chose "higher reimbursement standards" and "simpler reimbursement procedures. The public reflected that it takes a long time for patients to receive reimbursement of their medical fees after consultation, especially if they are transferred to a hospital for treatment, as they have to go through several layers of procedures. In addition, the scope of reimbursement is small, the standard of compensation is also lower, the starting line is higher, the city's current maximum reimbursement amount of 10,000 yuan.
(E) The management work is lagging behind.
The city has set up a management organization, but there is no full-time staffing, and the city's cooperation management office currently has only a few part-time staff, with a heavy workload and a serious shortage of personnel. The township government is also a part-time cadres, and personnel changes, business is not familiar with. The city and township level networked management is even more talk about, management work is seriously lagging behind.
As a new thing, there are bound to be a variety of problems in the early stages of operation, research we also learned:
1, the publicity of the new rural cooperative medical care is not deep enough, farmers do not have a thorough understanding of the policy.
Staff at all levels of cooperative medical care to understand the policy thoroughly, correct the attitude of serving farmers, improve service awareness, so that farmers through contact with these staff, understanding of the policy, trust the government, and enhance the confidence of active participation.
2. Most of the infrastructures and equipments of the rural primary medical institutions do not meet the standardized criteria, which can't fundamentally solve the problem of farmers' medical care in their proximity.
The government should take the township medical institutions as the base of rural cooperative medical care, and give enough investment to improve the infrastructure and increase the necessary medical equipment, so that every township hospital can meet the uniform hardware standards.
3. The shortage of talents in primary medical institutions. Township hospitals medical personnel with low education, low level of professional and technical skills, brain drain is a common problem.
The relevant units should take relative measures to introduce talents and cultivate talents, improve the treatment of medical personnel in primary hospitals, so that they feel at ease working at the grassroots level.
Two, improve the new rural cooperative medical system countermeasures recommendations
The new rural cooperative medical system, is a new situation in China is exploring a new rural security system, fully embodies the party and the government's attention to rural health care and concern. From the survey, the implementation of the new rural cooperative medical care in general has been recognized by the majority of farmers, how to make this system into a routine, long-term, so that social security is more complete, is a major focus of the pilot work. Problems and difficulties in the current pilot work, to study and take further measures to improve.
(I) constantly improve the policy system
New rural cooperative medical system is a very complex and difficult practical project, governments at all levels and the relevant departments must start from the maintenance of the fundamental interests of the majority of farmers, be sure to work solidly and steadily implemented in a timely and in-depth understanding of the existence of farmers on the new rural cooperative medical care and analysis of the doubts and opinions, and timely absorption of the reasonable requirements and suggestions!
One is to appropriately expand the scope of reimbursement, mobilize farmers to participate in the enthusiasm. Farmers are relatively less aware of the risks and are more concerned about immediate benefits, and for most of them, it is difficult to mobilize their enthusiasm for participation in the program by only implementing compensation for inpatient medical expenses. Therefore, it is necessary to study the extension of the scope of reimbursement to outpatient care. The survey shows that 31.3 of the farmers asked to extend the reimbursement scope to outpatient, the farmers this desire is very strong.
The second is to adjust the reimbursement standard in time, so that the fund is neither over-settled nor overdrawn. Income to determine expenditure, keep expenditure within the limits of revenues, gradual adjustment, protection of moderate is the new rural cooperative medical compensation standard determination of the basic principles. Analyzing the survey data, low reimbursement rate is one of the main reasons why farmers are dissatisfied with the new rural cooperative medical care. There are 35.4 farmers hope that the reimbursement rate can be increased. Through analysis and research, the reimbursement rate will be adjusted in a timely manner so that the fund will neither sink too much nor become overdrawn, in order to increase the degree of benefit to farmers.
Thirdly, we are gradually
expanding the fixed-point medical institutions to make it easier for insured farmers to seek medical treatment. In the counties (cities, districts) and the province as a whole, a number of fixed-point medical institutions were identified based on certain criteria, and the coverage of fixed-point medical institutions was gradually expanded according to the principle of expanding a mature one, so that insured farmers could independently choose fixed-point medical institutions according to their own needs, thus facilitating access to medical care for insured farmers. A moderate reimbursement rate gradient is set according to the different levels of medical institutions, encouraging farmers to seek medical treatment near their homes. For insured farmers who go abroad, they are allowed to seek medical treatment in hospitals outside the country that meet the conditions of designated medical institutions, and then reimburse themselves locally with relevant certificates and invoices, in order to increase the motivation of farmers who need to go out frequently to participate in the scheme.
Fourth, the introduction of preferential policies. Special hardship groups and patients with high medical costs of the relief approach, through government investment and social contributions and other channels to raise and establish an independent medical assistance fund, to solve the rural five guaranteed households, special hardship families can not afford to pay the difficulties of the cooperative medical fund to increase the relief of medical costs of patients with major diseases.
(2) Continuously improve the basic conditions and service model of rural medical institutions
One is to adjust and optimize rural health resources, and accelerate the reform of the service model. To give full play to the role of the market mechanism, mobilize and encourage social forces to participate in the establishment of rural medical and health undertakings. Multi-channel fund-raising, focusing on strengthening the construction of township and village-level medical institutions, gradually supporting the necessary medical and health equipment, rationally adjusting and optimizing rural health resources, accelerating the improvement of the service model of rural health institutions, and accelerating the development of rural community health services.
The second is to increase rural health investment, increase health support for agriculture and poverty alleviation. At present, some townships, especially in less developed areas, township health centers, medical equipment investment is insufficient, the shortage of drug revolving funds, village health center medical equipment is simple, coupled with a variety of reasons caused by the low quality of the health worker, unable to make a timely and correct diagnosis of the patient, it is difficult to meet the needs of the masses. Therefore, increase rural health investment, especially to increase the less developed areas of health support for agriculture and poverty alleviation efforts to narrow the regional gap, to ensure that farmers in less developed areas can also enjoy the benefits of the new policy.
Thirdly, the training of medical personnel should be strengthened, and the cultivation of talents should be enhanced to improve the quality of service and technical level. Encourage outstanding medical school graduates to work in health centers, improve the business skills of existing medical personnel, especially to strengthen the province, city, township, village health institutions vertical business cooperation, and constantly improve the township, village health institutions of medical services capacity and level, so that more villagers can be in the township, village consultation and treatment, not only reduces the cost of medical care, but also ensure that villagers in a timely manner, and strive to let the farmers do not go out of the village for minor illnesses, serious illnesses In an effort to keep farmers from going out of their villages for minor illnesses, townships for major illnesses, and counties for difficult and serious illnesses, thereby reducing the burden of medical expenses on the rural population.
The fourth is to further improve the drug procurement system, increase the construction of the wind, maximize the reduction of drug prices, the greater benefit to the farmers. In order to effectively manage the use of the new rural cooperative medical fund, will be limited to the fund on the knife edge, minimize the cost of medical care, to the benefit of the people, benefit from the people, rural cooperative medical supplies should be included in the scope of the government procurement, improve the drug purchase and sale system, completely eradicate the unhealthy drug rebates inflated prices of drugs, play the drug supervision and management departments, the price department's role in improving the quality of drugs, standardize the price of drugs and medical services. Quality, standardize the price of drugs and medical services, the implementation of the government-led, departmental cooperation, farmers' representatives *** with the participation of the management of the new pattern, so that the farmers involved in the new cooperative medical masses on the use of cooperative medical fund has full management and supervision, and effectively safeguard the interests of the participating farmers, maximize the benefits to the farmers, so that the needy masses can afford to see a doctor.
Fifth, to strengthen the supervision and effectively solve the problem of transparency of cooperative medical care. The rural cooperative medical care and village affairs as open to the farmers to pay the use of medical cooperation funds as well as patients to get large and small medical subsidies to be announced, so that the cooperative medical fund and the state's subsidies under the supervision of the masses, and resolutely put an end to the phenomenon of the phenomenon of arbitrage of health insurance funds.
Thoughts on the activities:
The new rural cooperative medical care and medical assistance are the two basic systems of rural medical care in China at this stage. The establishment of a new rural cooperative medical system is an important part of the new period of rural health work, is the practice of the "Three Represents" important thought of the specific embodiment of the improvement of farmers' health, promote rural economic development, maintaining social stability is of great significance. During the survey interviews, we can feel that for the new rural cooperative medical care, the farmers mostly hold a favorable attitude and actively participate in it. Among them, not a few people praised the Party and the government's policy, after all, this policy effectively reduces the pressure on farmers' medical care, reflecting the government's new working attitude under the guidance of the concept of people-oriented. During the survey, several villagers interviewed also enjoyed the benefits of the new policy, the proportion of reimbursed medical expenses is still relatively large, which really reduces their financial burden.
From the analysis of the survey results, I believe that in order to better implement the implementation of rural cooperative medical care, we should start from the government and farmers.
The government should, on the basis of increased publicity, strengthen its work in the following areas:
(a) Increase fund-raising efforts to expand the scale of medical assistance in rural areas.
(3) Improve the method of providing assistance for serious illnesses and increase the accessibility of medical assistance
(2) Summarize and exchange experiences, and further improve the articulation between medical assistance and the new type of rural cooperative medical care
Farmers, as the beneficiaries of the cooperative medical care, should do the following:
(1) Actively and proactively learn about the relevant policies on cooperative medical care.
(ii) Take the initiative to participate in the cooperative medical care.
(c) Be grateful and give back to the society.
I have gained a lot from this practical activity. As a college student, as a future socialist successor, I should enhance my social practice ability and do what I can for the society. I am determined to practice to the end, because practicing, I am happy!