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我国政府一直致力于解决农村医疗卫生问题,合作医疗是我国农村的基本医疗保障制度之一。政府于2003年开始推行试点新型农村合作医疗,虽然取得了一些经验,但在实际运行过程中也暴露出了一些深层次问题亟待解决。医改一直是我国的大难题,农村医疗体制改革更是我们多年来要解决的问题,可以说医疗卫生体制改革是一项高风险的社会政策。笔者研究的是社会政策视野下新型农村合作医疗的制改问题,因为种种原因,我国过去一直没有采用“社会政策”的概念,而我们看到的研究大多都是从公共政策的角度入手。如今社会政策是一门正在兴起、颇受广大学者关注的学科,一门专注于政府有关民生福利政策的学科,农村合作医疗属于社会政策领域中的一个很重要方面。
Our government has been committed to solving the problem of rural medical and health care. Cooperative medical care is one of the basic medical insurance systems in rural areas of our country. Although the government started to pilot the new rural cooperative medical system in 2003, some practical experiences have been obtained. However, some deep-seated problems are exposed during the actual operation. Medical reform has always been a big problem for our country. Reforming the rural medical system is something that we have to solve for many years. We can say that the medical and health system reform is a high-risk social policy. The author studies the reform of the new rural cooperative medical system under the social policy perspective. For a variety of reasons, China has never adopted the concept of “social policy” in the past. Most of the studies we have seen start with the perspective of public policy . Nowadays, social policy is a subject that is emerging and attracts a lot of scholars’ attention. It focuses on the government’s policies on people’s livelihood and welfare. Rural cooperative medical system (CMS) is a very important aspect of social policy.