| The Tibet autonomous region agricultural and pastoral areas in gongbujiangda County medical assistance system for basic research, a detailed analysis of the local medical relief system, relief agencies and relief funds use. Around the local assistance, Gongbo’gyamda County agricultural and pastoral areas, analyzes the main functions of the agricultural and pastoral areas of medical assistance system, think these relief system is the guarantee of the national medical aid, Huimin policy, the implementation of the new rural cooperative medical system, increase the medical rescue efforts, guarantee the solution to major medical problems of farmers and herdsmen, especially its the positive role of farmers and herders pooling, difficulties of farmers and herdsmen medical needs, reduce the medical burden of the masses of farmers and herdsmen. At the same time, this kind of assistance system for the local social economic development, especially in the important role in promoting the protection of workers health, reduce the masses of farmers and herdsmen family burden, promote the development of the local medical and health.Based on analyzing the existing relief system, combined with the experience of other regions, pointed out the existence of Gongbo’gyamda County agricultural and pastoral areas of medical assistance system problems. Mainly includes the interface between the operation mechanism of medical assistance system is not perfect, the uncoordinated, part of the policy design unreasonable, supervision mechanism is not perfect, lack of tunds, medical assistance funds lack of volume, lack of serious illness relief funds, special funds were not in place in time, medical aid program is complex, cumbersome procedures, medical aid system flexibility is insufficient. Many complex problems.Aiming at these problems, the use of public management theory, analyzes their causes. Specific include the following aspects:one is the management mechanism is not perfect; two is a single source of funds; three is the objective conditions; the four is the restriction of natural conditions, and the rescue efficiency is not high, the medical condition is not perfect etc..These reasons are not only the constraints of objective conditions, there are management problems.For this, put forward thinking and Countermeasure of perfecting Gongbo’gyamda County agricultural and pastoral areas of medical aid system. Following the improvement of medical assistance system:first, strengthen organizational leadership; second, formulate rules perfect; third, deepen the implementation of the policy; fourth, establish medical relief measures and standards; fifth, broaden the sources of funding; sixth, optimize the rescue process. In the implementation of countermeasures, that can take the following measures:to establish a coordinating mechanism between departments; the introduction of special funds management; community medical assistance; strengthen the protocol regulation; meet the basic medical service needs of the difficulties of the masses. |