中国农村医疗保险英文3000字.docx

中国农村医疗保险英文3000字.docx

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中国农村医疗保险英文3000字

中国农村医疗保险英文_3000字

一、农村医疗保险现状

1.1农村保障水平低lowlevelofruralsecurity

Agriculturalpopulationaccountsfor63.91%ofthepopulationinourcountry,andinthecountrysideof100individuals,only12peopleenjoyindifferentdegreesinbusinessorsocialmedicalinsuranceasawhole,itis54inlargeandmedium-sizedcities.Officiallyadoptedin1999fromsocialsecurityreform,hasbeen108950people,nearly65%aretownenterpriseworkerandretiree,andfarmersenjoythesecurityofsocietyisextremelylow,asinthevariouscommercialandsocialinsurancesocietytoplanasawholewiththemostseriousillnessmedicalinsurancecoverageoflessthan20%.Moreover,79%oftheruralfarmers'medicalexpense,lowlevelofsecurity,China'ssocialsecurityincitiesisnotenough,onlymakethefarmersenjoythesocialsecurityisoneoftheimportantlinkofeconomicconstructioninourcountry.

1.2Theruralinvestmentisinsufficient,thegapbetweenurbanandruralareas

Overtheyears,wefollowintheeconomicandsocialdevelopmentistiltedtothecity'strainofthought,foralongtimeinourcountryurbanandruralhealthresourceallocationimbalance,accountingfor70%ofthecountry'sruralpopulationaccountsfor30%ofthehealthresources.Ruralmedicalinsurancefundsseriouslyinsufficient.Withthedevelopmentoftheruraltaxandfeereform,thelocalfinancetight,manyvillagecollectiveeconomyisrunningout,lesssubsidiesforruralhealthinstitutions,lackofruralhealthresourcewillbemore.

cooperativemedicalcaresystempilotpoliciesandguidelines.Inaddition,ignorethedifferencesbetweenregions,differentlevelscannotmeetfarmers'healthcareproblem.

2theproblemofruralhealthinsuranceinourcountry

2.1thenewtypeofruralcooperativemedicalcaresystemoflegalconstructionlag

Chinahas80%ofthepopulationliveinruralareas,stableunstableChinafirsttoseethis80%stableinstability.Citiesmakeagainbeautiful,withoutthestabilityofthecountrysideisbasedonno.EnactedinOctober2002,thepartycentralcommitteeandthestatecouncilonfurtherstrengtheningruralhealthworkofthedecision"alsoexplicitlypointedout:

"theruralhealthworkisthekeyofthehealthworkinChina,relatedtotheprotectionofruralproductivity,toprosperruraleconomy,maintaintheoverallsituationofruralsocialdevelopmentandstability,toimprovethequalityofthewholenationisofgreatsignificance".Suchanimportanteventtoconstructingharmonioussociety,intheprocessofimplementation,nocorrespondingpoliciesandlaws,implementingmeasures,formulatespecificprovisionswillbedifferent.Eventhehangzhouareaadjacentcountiespolicydifferenceisverybigalso,farmersenjoythesecuritylevelisuneven,affectthecredibilityofthesystem.

2.2thefunctionsofthegovernmentisnotclear

Themanagementfunctionofgovernmentisnotappropriate,somenotclearitsroleinthehealthcaresystemshouldbebornebythegovernment'sservicesandproducts,thegovernmentwillturntheprovidedbythemarket,makethecountrysidepoorerunderservedpopulationlackaccesstobasicmedicalandhealthservices.Andsomeofthisshouldbemainlyprovidedbythemarketanddistributionofmedicalserviceresources,thegovernmenthastheburden.Foralongtime,thegovernmentprovideddirectlytorelytoomuchonmedicalservice,theexcessivelycentralizedcontrolofmedicalfacilities,anddominatedbythegovernment,finance,informationandtherulesandregulationstool,theuseoftoolittle.Inthesurvey,farmersgenerallyreflectthatthepoorcangetmoney,richpeoplegotsickcantakeoutmoney,butafraidtopaymoneyeveryyearnotsick,obviousdisadvantage.Manyfarmerssaidbluntlymistrustofthevillagetownshipcadres,fearofchanginggovernmentpolicy

2..3Insufficientstandardintheworkoftheorgnaizationofagencyofmedicaltreatment

Managementgoodluckgoodcooperativemedicalfund,needtoestablishandimprovetherelevantinstitutions,toformeffectivesupervisionmechanism,thepersoninchargeshouldhavegoodprofessionalethicsandhighlevelofprofessionalknowledge.Gapisverybig,but,inmanypartsoftheactualsituationandproblemsofthe"have-nots”:

withoutformalinstitutionsandprofessionalpersonnel,nowork,nospecificationsystem.Morepart-timepersoninchargeandchangefrequently,reimbursementapprovalprocesstrival,sickenfarmerreimbursementwhentheopinionisverylarge.Fundmanagementsupervisionmechanismisnotsound,transparencyisnothigh,someplacesevenillegalillegalphenomenonsuchasmisappropriationofcorruption.

2.4Medicalspendingisgrowingrapidly,aggravatingthefarmers'burden

Reality,atpresentourcountryalotofmedicineforthemedicalhospital,auxiliaryexaminationprojecttoomuch,thepriceisalittlebithigher,leadingtohospitalizationsoaringadversephenomenonstillexists.Manydoctorsunderthehugetemptationwithretailpricedifference,prescription,withexpensivemedicine,inspectionanditisindisputablefactthatkickbacks.Thesephenomenaontheonehand,causinghugewasteofresources,thecountry'sfiscalmedicine,atthesametimealsotothepatientespeciallypeasantsbroughtaveryheavyburden.Andanagingpopulation,thewideapplicationofhighandnewmedicaltechnology,people'sdemandformedicalservices,diversificationandincreasedincidenceofchronicnoncommunicablediseases,publichealthsystemisnotsoundmaybringunexpectedeventswillcontinuetoleadtorapidriseinmedicalcostsandsoonreasons,howtoeffectivelycontrolmedicalcostsreasonablyandrealizethemedicalinsurancefundbalanceofpaymentsisstillaproblemofthemedicalsecuritysystemreform.

意见与反馈

2.5Medicalandhealthresourcesallocationisnotreasonable

Medicalandhealthresourcesallocationisunreasonable,thefairnessofurbanandruralmedicalsecurityispoor.China'scurrentmedicalandhealthresourcesmorefocusedonregionalmediumorlargehospitals,somesmallandmedium-sizedmedicalinstitutionsinfrastructurearenoteffectivelyimproveforalongtime.,fromtheperspectiveofurbanandruralmedicalandhealthresourcesareconcentratedincities,accountingfor80%ofthetotalresources,two-thirdsandconcentrationinabighospital.Visible,medicalandhealthresourceconfigurationisnotreasonablefactorsofthegreat.Accordingtotheworldhealthorganizationreleasedhealthservicereportdisclosedin2000,191countriesandregions,medicalandhealthresourceallocationfairnessindex,China,188,inrankingthefourthfrombottomamongallmembers,isoneofthemostunfair.Medicalandhealthresourceconfigurationisunreasonable,accessibilityofruralmedicaltreatmentispoor,leadtothevastruralareasfarmersailment,seriousdespise,seeaseriousillnessmeansruin,povertybecauseofillness.So,ruralhealthcareinlimbo.Thisisourcountryagreatmiscalculateonhealthcarereform.BecomeperfectmedicalsecuritysysteminChinaurgentlyneedstosolveabigproblem.

3FeasiblemeasuresandSuggestionsonthedevelopmentofruralhealthinsuranceinChina

3.1Expandhealthcarecoverage,valuegapgroupsandvulnerablegroups

Attachesgreatimportancetotheurbanandruralgapgroupsandvulnerablegroups,andembodiesthecountryiscommittedtopromotingsocialjustice,theprotectionofhumanrights,effortstoreducethesocialunstablefactor.Medicalsecurityincitiesandtownsconstructionpractice,therearestillalotofpeoplefreefromthemedicalinsurance,mainlyarehardworkerpopulationandpovertypopulationincitiesandtowns,flexibleemploymentpeople,laid-offworkersandunemployed,alargenumberofmigrantworkersincitiesandruralmigrantworkersandsoon.Theseareusedintheconstructionofmedicalsecurityincitiesandtownsignoredorstillhaven'treceiveddueandattachesgreatimportancetotheopengroup,theirbasichealthrightshaven'tbeguaranteed.

3.2Tostrengthenthesupervisionofmedicalinstitutions,tocontroltheexcessiveriseinmedicalcosts

Tostrengthenthehospitalmedicalexpensesreasonablemonitoring,effectivecontroloftheexcessivegrowthofmedicalexpenses,toreducethepersonalburdenbyregulatingthebehaviorofmedicalservice,makethelimitedfundsrealpatients,inordertocontrolmedicalcostsrise,shouldcontrolthescaleenlargementofmedicalservicesandinternalcostsasakey.Accordingtoregionalhealthscale,newmedicalinstitutionsofexaminationandapprovalstrictly,strictlycontroltheexpansionofexisting,streamlineoverlappingunreasonableinstitutions,adjuststraightenouttheservicefunction.Formedicine,medicalmarketchaos,strengthenthepharmaceuticalproduction,circulationandregulationofmedicalinstitutions,istocontroltherisingcostandtheimportantwaytoreducethefinancialburdenoffarmers.

3.3Farmers'basicmedicalinsuranceformajordiseasesforsecuritykey

Adviceshall,invastruralareas,bycityandcountyastheunitfirsttoestablishfarmermajordiseaseinsurance.Farmermajordiseaseinsurancefundingsources,mainlytakethefarmersfinancingandfiscalsubsidymethod,combiningtheinvestmentproportioncanadjustmeasurestolocalconditions,startingfromtheactualsituationaround.Comparedwiththetraditionalcooperativemedicalcaresystem,farmermajordiseaseinsuranceischaracterizedbyahighlevelasawhole,strongabilitytoresistrisks,financinglevelislow,easytoraise,managementandsettlementetc.Inaddition,canalsobeinconditionalareafarmers,onthebasisofmajordiseaseinsurance,developingmorecomprehensivehea