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目的为了解新型农村合作医疗制度(新农合)在湖南省的运行情况,本研究对汨罗市新农合的开展情况进行了调查研究。方法定性研究方法和现有资料收集分析。结果汨罗市政府组织和筹资成立新型农村合作医疗统筹基金;每位农村户口的公民交纳10元参加合作医疗,参合率为73.6%;新农合实施的主要是住院补助,不同级别就诊卫生单位起付线、补助报销比例不同;定点卫生单位和农民切实受益。结论汨罗市新农合参合率正在稳步上升,基金运行平稳,农民反映良好。下一步政府应进一步加强投入,报销制度细节仍待完善,五保户等特殊人群、大病患者等的医疗费用的报销还有待解决。
Objective To understand the operation of new rural cooperative medical system (NRCMS) in Hunan Province, this study investigated the development of NCMS in Miluo City. Methods Qualitative research methods and existing data collection and analysis. Results Miluo City Government organized and raised funds to set up a new type of rural cooperative medical fund; each citizen of the rural household paid 10 yuan to participate in cooperative medical care, with a participation rate of 73.6%; the implementation of NRCMS is mainly hospitalization allowance, Pay line, the proportion of subsidies reimbursement; fixed-point health units and farmers benefit. Conclusion The NCMS co-morbidity rate in Miluo City is steadily increasing. The fund runs smoothly and farmers reflect well. The next step should be to further strengthen the government investment, reimbursement system details still to be perfect, such as special groups such as the five guarantees, serious illness and other medical expenses reimbursement remains to be resolved.