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新型合作医疗制度的实施,为解决农民看病难,看病贵,农民因病致贫,因病返贫直到了重要作用,原来筹资水平低、报销水平低,报销手续复杂,定点医疗机构监管难等问题都比过去有了较大的改观。但新型农村合作医疗制度本身还存在一些深层次的问题,如管理成本高,管理机构体制不畅,“参合”政策的自愿性与实际“参合”的半强制性的矛盾等依然存在。解决“新农合”制度深层次的问题,实际上就是向建立城乡一体化的医疗保险制度的终极目标迈进。为此,要继续深化现行的新型农村合作医疗制度改革,建立起农村大病医疗保险和门诊小病的合作医疗制度。
The implementation of the new cooperative medical system has solved the problems of poor health care, expensive health care, poor peasants due to illness, return to poverty due to illness, low level of original funding, low level of reimbursement, complicated reimbursement procedures and difficulty in supervising designated medical institutions Have a greater improvement than in the past. However, there are still some deep-rooted problems in the new-type rural cooperative medical system itself, such as the high management cost and the sluggish management system, and the semi-compulsory contradictions between the “voluntary” and “actual” “participation” policies exist. The solution to the deep-rooted problems of the “new rural cooperative medical system” is actually the ultimate goal of establishing the urban-rural integrated medical insurance system. To this end, we must continue to deepen the reform of the current new-type rural cooperative medical system and establish a cooperative medical system for seriously ill medical insurance and out-patient minor diseases in rural areas.