| Rural pulation in China is multitudinous,the farmer's income is not high,the countryside medical service level is low.Under such condition,establishing the effective countryside medical service safeguard system, not only has the practical significance in China, but also is an important contribution to the world safeguard experience.The cooperative medical treatment which had implemented in the countryside successfully it also affects the world greatly,experienced,with it declined in 80's.In the general countrysides area,the farmer becomes the community of paying own expenses, multitudinous patient famers fall into "slight illness to shoulder, the big sickness towed" difficult position.Therefore, it is imperative and urgent to reconstruct the countryside medical service health service system,consummate and the develop new rural cooperatives medical service.This article is a research about ruralcooperatives medical service development problems in Jilin Province Lishu County. The research aim as follows: One, discuss the domestic and foreign countrysides medical service development pattern and the experience;Two, analyze development problems and propose the solution countermeasures.The article used such research ways as the standard and real diagnosis, the theory and practice unifies and so on ,on the base of inelaborating the rural cooperatives medical service theory and profits from the domestic and foreign countrysides medical service safeguard system reform experience, through the actual investigation and study in Lishu County, has analyzed the Lishu County rural cooperatives medical service development present situation and the existence questions, and proposed development countermeasures to the Lishu County rural cooperatives medical service.Through visiting several villages and towns farmers and the investigation into new cooperative medical treatment concrete implementation plans in Lishu County, This article thinks the Lishu County rural cooperatives medical service development mainly is faced with the questions below: One, the government investment level is low, the channel of collection fund is unitary. The County finance is difficult, also has not formed the stable effective society channel to gather capital, the new sustainable development endures sorrow. Two, the villages and towns medical equipment and technic is bad, the medical care personnel quality is low, it is very difficult to meet farmer's medical need by such medical level. Three, the fanner's worry, the medical level and the expensive price of medicine. All of various reasons, cause the participation wish not to be high. Four, not having formed the effective new agriculture cooperation fund management and surveillance system, has the moral flaw risk. Five, because of compensating the proportion excessively lowly, reimbursing the procedure complexly, the farmer understanding degree to it insufficiently, all these reasons caused the new agriculture surplus fund quantity too big.Above question exists in Lishu County, proposed the countermeasures below: (1) Displays the government function, guarantees cooperative medical treatment stable development. (2) Strengthens rural doctor troops construction and the medical establishment constructs. (3) Finishes the thorough careful propagandas, relieves farmer's thought worry. (4) Establishes the perfect fund management and surveillance mechanism, guarantees the fund security. (5) Formulates reasonably compensating mechanism, enhances reimbursing proportion.Through the systematic research and analysis, this article finally drew the conclusions below: (1) The new cooperative medical treatment system is significant measures which guarantees the farmer health, solves the farmer's difficulty in seeing a doctor. We must guarantee its long-terms, and stable sustainable development. (2) The government health resources continues to invest and expands the new channel to gather fund for contryside medical coordination, which is the basic way to solve fund problems. (3) It is imperative to form effective management and inspector mechanism from the farmer, the local, central goverment to the rural cooperatives medical service fund, for guaranteeing fund effective utilization, fund security.(4) Improving practically villages and towns medical service condition and enhancing rural doctor's level, is important guarantee to the new cooperative medical treatment effective implementation and the farmer health level enhancement. (5) To carry on multi-channel and the popularization cooperative medical treatment propaganda to the farmer, this can guarantee the farmer to know clearly reimbursing sickness proportion and type and so on; to utilizate their hand right so as to benefit from the cooperative medical treatment. |