我国新型农村合作医疗制度的特点、问题与对策

我国新型农村合作医疗制度在全面推进中存在的主要问题有：农民参合积极性不高；管理体制不健全；“新农合”基金筹资成本大，补偿标准不尽合理，补偿能力有限；医疗监管难度系数较大；立法滞后，政策不过硬；缺乏合理的人才机制；等等。今后，需要从几个方面着手规范与完善：加强管理机构和管理服务能力建设；扩大筹资渠道，建立长效机制；改善与外部的关系，形成良好的互动局面；尽快建立城乡一体的医疗保障制度和管理制度；强化新型农村合作医疗监管，提高管理效率；加快相关立法，确保新型农村医疗保障制度政策的稳定性；加强“新农合”人力资源建设，重视乡镇卫生院人才培养；等等。

The New Rural Cooperative Medical System of Our Country: Characteristics, Problems and Countermeasures

In promoting the new rural cooperative medical system in our country, we face a series of problems such as, low participation; defective management system; high cost in collecting fund, unreasonable compensation standard, limited compensation ability; difficulty in supervision; defects in legislation and policy; lack of reasonable human resource system, and so forth. For the future, we need to normalize and improve it from the following aspects： strengthening the construction of managerial institutions and improving the management abiliity system and management system as soon as possible; enhancing the medical supervision and improving the management efficiency; accelerating the work of legislation, ensuring the stability of policies on the new rural medical security system ; reinforcing the human resource construction, emphasizing the cultivation of professionals for hospitals in townships, etc.