论文部分内容阅读
目的探讨农民参与新型农村合作医疗(新农合)监督管理的有效实现方式。方法选取全国263个试点县(市)经办机构人员进行信函调查;选取安徽省绩溪县、南陵县和宁国市新农合利益相关人员923人,采用自行编制的调查表进行定量与定性相结合的现场调查。结果信函调查76个县市中,县新农合管委会设有农民代表者54个县,占71.05%;监委会中设有农民代表者67个县,占88.16%;已聘请农民监督员仅有30个县,占39.47%;乡村3级相关人员923人中,建议农民监督员参与新农合监管的主要环节分别为补偿方案设计,报销流程,定点医疗机构收费,基金使用,定点医疗机构服务,经办机构服务,建议者比例分别为80.86%,71.03%,59.68%,43.89%,30.27%,4.86%。结论各地新农合管委会和监委会吸收农民代表、聘请农民监督员的比例较低,农民参与新农合监管尚缺乏载体,农民监督员参与新农合监管可通过多种方式。
Objective To explore the effective ways of farmers participating in the supervision and management of New Rural Cooperative Medical System (NCMS). Methods A total of 263 pilot counties (cities) from across the country were selected to conduct a letter investigation. A total of 923 stakeholders were selected from Jining County, Nanling County and Ningguo City of Anhui Province. Quantitative and qualitative data were obtained by using self-prepared questionnaires. Site survey. Results letter investigation 76 counties and cities, counties NRCMS CMC has 54 farmer representatives, accounting for 71.05%; the JISC has 67 county representatives of farmers, accounting for 88.16%; has hired farmer supervision Only 30 counties, accounting for 39.47%; rural 3 923 related personnel, the proposed supervisors to participate in NRCMS supervision of farmers are the main aspects of the compensation program design, reimbursement process, fixed-point medical institutions fees, the use of funds, fixed-point The proportions of medical service providers and service agencies handled were 80.86%, 71.03%, 59.68%, 43.89%, 30.27% and 4.86% respectively. Conclusion The NRCMS and JISC all over the country have a lower proportion of peasant representatives and hired peasant supervisors, and there is still a lack of carriers for peasants to participate in NRCMS supervision. Peasant supervisors can take part in the supervision of NCMS through various means.