地方政府在新农合可持续发展中的职能研究马克思主义理论与思想政治教育专业论文.docxVIP

包头 包头师范学院硕士学位论文 中 文 摘 要 本课题是 2010 年被国家社会科学基金项目“巩固和发展少数民族聚 居地区新型农村合作医疗制度研究”获准立项的一部分内容。 我国传统农村合作医疗保障制度（以下简称传统农合）的建立、发 展、繁荣与失败给新型农村合作医疗保障制度（以下简称新农合）带来 了一些经验总结和理论基础。新农合自提出以来，运行近十年，基本实 现“广覆盖、低标准”目标。目前新农合覆盖中国近 7 亿农民，使中国 逐步向人人有医保、人人有基本卫生医疗服务的目标靠近，并填补了中 国社会医保中农民医保的空白。新农合的健康发展提出了它在新时期下 一个目标的实现——新农合可持续发展问题。新农合可持续发展是更深 入的解决农民看病难的根本途径和体现，对我国社会发展、稳定与繁荣 具有重要意义，也是我国目前研究领域的重要课题。 本文通过文献分析法、实地调研考察分析法、定性研究和定量研究 相结合法及比较分析法研究了新农合可持续要发展与政府职能发挥的关 系，得出新农合可持续发展必须要求地方政府加大其职能投入，地方政 府职能投入的水平是决定新农合可持续发展的关键因素。笔者认为地方 政府始终是新农合可持续发展制度的完善人、执行人和财政管理人。在 制度方面：确定新农合性质，规划其发展方向；健全新农合法律建设； 改进新农合筹集基金方式。在执行力方面：加强思想建设，不断提高地 方政府人员素质；明确地方政府及相关部门的工作职能；规划新农合可 持续发展战略；加强地方政府对新农合医疗保险基金的监管；强化补偿 报销过程的监管。在财政管理方面：适度调整筹资额度；增加服务人才 培养支出。 关键词：地方政府，新农合可持续发展，职能研究 包头 包头师范学院硕士学位论文 ABSTRACT This topic is a part of the national social science fund project of researching how to consolidate and develop the new rural cooperative medical care system in the minorities concentrated regions in 2010. To the new rural cooperative medical care system (the new RCMCS), the process of the establishment, development, prosperity and failure of Chinas traditional rural cooperative medical care system (the traditional RCMCS) is important experience and theoretical basis. The new RCMCS has been operationed for nearly 10 years since it has proposed. It has almost finished the goal of universal coverage and low standard。 At present, the new RCMCS covers nearly 700 millions Chinese farmers, It makes China achieve the goal that everyone has the health care, everyone has basic health medical service, and fill the blank of the Chinese RCMCS. The sustainable development of new RCMCS is the new RCMCS further goal in the following peroid. The sustainable development of new RCMCS is a fundamental way to deeply solve the problem of farmers that are difficult to see doctors, and it is significant to promote Chinas social development, stability and prosperity, and it is also an important subject in the field of study in our country at present. This article has