| In the report of the 19 th CPC National Congress,the important strategy of a healthy China was clearly put forward,and the development goal of building a sound medical security system was put forward.Health poverty alleviation of poverty in China was 2020 last year,reaching after the era of poverty alleviation through improving the efficiency of rural poverty population health care to help the rural poor people out of poverty,how to build the prevention has been out of poverty,poor edge crowd because of sickness poor Chinese medical security system for health and poverty alleviation project of the implementation of the strategy of rejuvenating the successful completion of the task and rural is crucial.Based on the poverty-disease vicious cycle,feasible capacity theory,public goods theory and multiple collaborative governance theory,this paper studied the medical security problem of rural poor people in S County from the perspective of health poverty alleviation.First of all,using the method of literature,summarized the domestic and foreign related research status about this topic,poverty relief,poverty and health care for health concepts,the vicious cycle of poverty and disease research covers the theory and practical ability theory,public goods theory,expounds the theory of multiple cooperative governance and instructions.Secondly,the case study method is used to introduce the general situation of medical security for rural poor people in S County from three aspects:basic situation,current medical security policy and work results.Then,the current situation of medical security system for rural poor people in S County from the perspective of health poverty alleviation is investigated by using questionnaire and interview methods.Then,based on the results of questionnaire survey and interview,combined with the theory,the paper analyzes the existing problems and causes of medical security for rural poor people in S County from the perspective of health poverty alleviation.Finally,according to the problems and causes,the countermeasures are put forward.Through the research,the main research conclusions of this paper are as follows:(1)through interview and questionnaire survey,found that health poverty alleviation horizon,S county rural poverty population health care as the low social organization participation,vulnerable low-income and health of the poor health care satisfaction low,marginalized poverty due to illness,poverty and anti-poverty personality Chinese higher risk,under the existing health care policy and moral risk behavior occurs frequently in the four big problems,Through in-depth analysis,it is found that the main reasons for these four problems are that the multiple subjects of medical security governance have not formed a collaborative governance mechanism,have not constructed a collaborative governance mechanism of multiple medical security policies,have not established an effective early-warning dynamic mechanism of poverty caused by disease and return to poverty,and the low supervision effectiveness of the implementation of medical security policies.(2)In view of the existing problems and causes,countermeasures to improve the medical security system for rural poor people in S County from the perspective of health poverty alleviation are put forward.First,the cooperative governance mechanism of multiple medical security subjects is constructed to improve the participation of social organizations;Second,to build a collaborative governance mechanism of multiple medical security policies and improve the satisfaction of medical insurance for low-income and vulnerable groups by improving medical security policies;Third,to establish a dynamic early-warning mechanism to reduce the risk of the poor marginalized population and the people out of poverty;Fourth,strengthen the effective supervision of the implementation of medical security policy to prevent the occurrence of moral hazard behavior between supply and demand. |