| "Three rural health services network","cooperative medical care"and"rural doctors"was once a great initiative to solve the problem of China's health protection to the farmers,and it was a focus of world attention. However,as a co-production responsibility system in rural areas after the disintegration of the collective economy,with the urban-rural dual structural contradictions have become increasingly prominent,with a further widening the gap between urban and rural areas,farmers are facing severe health protection challenges,and some parts of the three-tier network disintegration of cooperative medical care experienced several ups,the original security level is not high fall into the abyss of cooperative medical care. Establishment of a new type of rural cooperative medical care system is under the new situation the party Central Committee and the State Council to effectively solve agriculture,rural areas and farmers,urban and rural,regional,coordinated economic and social development is an important measure for improving the level of health protection for farmers,reduce medical burdens,and resolve A result of poverty due to illness,to ensure long illness play an important role.The new rural cooperative medical system as a result of system changes,there is no mature experience and can learn from model,it needs the light of local conditions around the continuous improvement in practice and exploration. As the economy of the west of Gansu Province in underdeveloped regions,since 2003 to participate in the new rural cooperative medical care system since the pilot,after just a few years to promote the pilot,the mechanism has been initially established,and the phenomena of"Leading to poverty because of disease, returning due to illness"has begun to ease,as in 2008 in Gansu province achieved ahead of schedule the new rural cooperative medical system covering the objectives of the province, which has its own characteristics of the development,mainly reflected in the clear lines of responsibility and fully cooperate with departments at all levels in Gansu Province in light of local conditions to establish new rural cooperative Health care system,and gradually improve the system of relevant supporting policies and solve the migrant workers in the health care has made great breakthrough.In this paper,using the method of combining data analysis and case noted that the new rural cooperative medical system in the course of the pilot Problems in Gansu Province by the new rural cooperative medical system operation,management,operation mechanism and other aspects of finishing,primarily in the following points: the new cooperative medical care system led to different levels of awareness of adverse selection; Cooperation Fund raising unscientific and lack of accumulation of the low rate of compensation,the benefit of narrow security level is not high; organization, management and supervision Mechanism is not sound. New-type rural cooperative medical system is a systematic project,the need to properly handle the relationship between the links,so the main part of the fourth article from the establishment of a stable funding mechanism in light of local conditions Construction reasonable compensation mechanism to gradually establish and perfect the supervision and management mechanism,and other areas Gansu Province to improve the new rural cooperative medical operation mechanism for analysis. Finally,farmers in Gansu Province on the lower income, poverty and large population base in rural migrant workers and other staff increased year by year the situation in the province of Gansu Province under the premise of the new rural cooperative medical system in the prospect of sustainable development,mainly from the increased income of the farmers raise Active participation of farmers; accelerate the building of the legal system to solve the Medicare problem of migrant workers; poverty-stricken areas to explore establishment of a new type of rural cooperative medical associations; the introduction of commercial insurance for the implementation of the new farmers market-oriented operation and gradually perfect relief to poverty-stricken population in rural areas mainly of medical assistance System and give full play to the building of Chinese medicine in the new agriculture and the role of several put forward a number of related policy measures that can be adopted for this study is similar to other areas of economic development of new-type rural cooperative medical system in the provision of some reference value of the information. |