Jointly promote the construction of new rural cooperative medical system

Introduction: not long ago, the 2005 national pilot work conference of new cooperative medical system was held in Nanchang, which conveyed the spirit of Premier Wen Jiabao's speech at the executive meeting of the State Council Vice Premier Wu Yi summed up the experience of the pilot work in the past three years, and put forward the task of strengthening efforts, accelerating progress, breaking through difficulties and actively promoting the construction of a new cooperative medical system As a member of the new rural cooperative medical system pilot work liaison meeting, the agricultural department participated in the whole process of the new rural cooperative medical system pilot work, summarized the positive results of the pilot work in various regions in recent years, and deeply studied the speech spirit of the leadership of the State Council, so that our understanding of the new rural cooperative medical system work has been further improved The agricultural sector must earnestly implement the spirit of this conference, recognize and continue to actively participate in the pilot work of new cooperative medical treatment being carried out in the local area from the perspective of safeguarding the rights and interests of farmers and building a harmonious society, and cooperate with the health, finance and other relevant departments to jointly promote the construction of new rural cooperative medical system The new rural cooperative medical system is the creation of rural cooperative medical system, which is the creation of Chinese farmers In the 1970s and 1980s, it mainly relied on collective funds and played an important role in rural health undertakings, attracting worldwide attention In the reform of rural system, the original cooperative medical system failed to adapt to the change of family contract management system For a time, there were twists and turns and difficulties The limited investment ability of farmers, the difficulty of financing cooperative medical system, the difficulty of seeing a doctor for farmers, and the poverty caused by illness and returning to poverty due to illness became a prominent problem in rural areas In 2003, the CPC Central Committee and the State Council put forward the plan of establishing a new rural cooperative medical system organized, guided and supported by the government, participated by the farmers voluntarily and focused on the overall planning of serious diseases, and launched a new rural cooperative medical system in the whole country in order to practice the important thought of "Three Represents", improve the health level of farmers, promote the development of rural economy and maintain social stability Pilot work Over the past three years, 641 counties have carried out pilot projects, 163 million farmers have participated in cooperative medical care, and 1.5% of the poor in the pilot areas have participated in cooperative medical care, 76.2% of the five insured and 80% of the extremely poor have participated in cooperative medical care The number of farmers who have successively enjoyed the compensation for cooperative medical care has reached 119 million, with the compensation fund of 5.04 billion yuan Through the sampling survey and evaluation of experts in different regions, the satisfaction rate of farmers participating in the cooperative medical system is generally over 85%, and the new cooperative medical system is generally welcomed by the farmers The characteristics of the new rural cooperative medical system different from the traditional cooperative medical system are as follows: first, the capital source of the cooperative medical system is mainly from the government investment At the initial stage of the pilot project, each farmer participating in the cooperative medical system contributed 10 yuan, and then the central and local finance contributed 20 yuan The conference announced that since 2006, the amount of each farmer's contribution to the cooperative medical system has remained unchanged at 10 yuan The central and local financial contributions have increased to 40 yuan, and the amount of each farmer's contribution has increased to 50 yuan Secondly, it breaks the monopoly management of some local medical units and promotes the hospital to improve the medical quality and service attitude through the choice of farmers Third, the combination of cooperative medical care and medical assistance not only ensures the implementation of medical assistance, but also expands the opportunities for poor farmers to participate in cooperative medical care and enjoy medical assistance Fourth, in the pilot projects, local governments have explored and formulated basic and feasible medical subsidy reimbursement systems, such as "starting line", "top line" and "personal account", which are suitable for local conditions, not only to ensure the overall planning of major diseases, but also to take care of the expansion of benefits Fifthly, under the supervision of the government departments at or above the county level, the supervision of banks, financial departments and the masses has been strengthened by means of separation of management and management, closed operation, computer management, openness and transparency, which is conducive to preventing the tendency of misappropriation, arbitrage and misappropriation of cooperative medical funds Sixthly, the construction of new rural cooperative medical system is carried out in combination with the construction of rural medical and health service system and network With the implementation of the 11th five year plan, it will provide solid and reliable material, technical and talent guarantee for the general change of medical conditions, improvement of service quality and reduction of medical cost of new rural cooperative medical system The construction of the new cooperative medical system, adhering to the people-oriented principle, embodies the great concern of the Party Central Committee and the State Council for hundreds of millions of farmers, embodies the scientific concept of development, and embodies the principle of balancing urban and rural development and "giving more, taking less and letting go" The establishment of a new rural cooperative medical system is directly related to the health and interests of hundreds of millions of farmers in China It is not only an important part of the reform of the medical system, but also an important decision made by the central government to solve the "three rural" problem We must attach great importance to the agricultural sector and work with relevant departments to do a good job in the fundamental system construction of rural health system To fully understand the guidelines, objectives and principles of building a new type of cooperative medical system, and to implement the spirit of the 2005 National Conference on the pilot work of new type of rural cooperative medical system, we must adhere to the guidelines, objectives and principles formulated by the State Council At the executive meeting of the State Council, Premier Wen Jiabao pointed out that the next step is to strengthen the work and accelerate the construction of the new rural cooperative medical system on the basis of conscientious summary of experience According to the deployment of the State Council, we will continue to expand the pilot area, summarize experience and improve relevant policies in the next two years, so as to achieve the goal of basically establishing a new type of cooperative medical system in rural areas nationwide by 2008 The new rural cooperative medical system is a mutual medical assistance system for farmers, which is organized, guided and supported by the government, participated by farmers voluntarily, financed by individuals, collectives, collectives and the government, and focused on the overall planning of serious diseases To promote the construction of the new rural cooperative medical system, we must firmly grasp this fundamental nature and direction [NextPage] the principle of "voluntariness, mutual assistance, openness and service" shall be implemented Voluntariness is to insist on the voluntary participation of farmers in the family as a unit To respect the voluntariness of farmers is to take advantage of the situation, pay attention to typical demonstration, do in-depth and detailed work, and do not engage in any form of forced orders and hard apportionment Mutual assistance is to insist on the mutual aid and mutual aid nature of this system, so that the participating farmers can get medical and health security, which is the core of the system Openness means to establish an open and transparent management system The key point is to make the fund management open, fair and fair, standardize the operation, and let the farmers have the right to know, participate and supervise the management; service is to put the interests of the farmers first, and truly make it convenient for the people, benefit the farmers, and make the farmers get more satisfactory medical and health services Vice Premier Wu Yi has repeatedly stressed that to do a good job in the new rural areas is to satisfy the farmers participating in the cooperative medical care, which is the only standard and high standard According to this standard, Vice Premier Wu Yi asked all localities to do a good job in solving outstanding problems such as farmers' personal expenses collection, audit and reimbursement, medical assistance, medical service fee supervision, and handling capacity building First, we need to establish a stable financing mechanism to ensure that all aspects of funds are in place in time and in full; second, we need to do a good job in auditing reimbursement, and constantly explore more effective operating mechanisms; third, we need to vigorously promote rural medical assistance, and strive to solve the problem of treating the poor; fourth, we need to improve the level of medical services, and strengthen the supervision of medical institutions; fifth, we need to continue to strengthen rural medicine Sixth, we need to strengthen the construction of agencies and improve their handling capacity in an all-round way In the construction of the new rural cooperative medical system, all levels of agricultural departments must actively cooperate with the construction of the new rural cooperative medical system As a systematic project, the new rural cooperative medical system needs not only the cooperation of the central and local governments, but also the cooperation of different departments Farmers are the main body of agricultural and rural economic development It is an urgent problem for farmers to develop production and get rid of poverty At the same time, it is also an important goal for us to develop rural economy and build a well-off society In order to carry out the spirit of Nanchang conference, we should do the following work well: 1 Leading cadres of agricultural departments at all levels should seriously learn from Premier Wen Jiabao's efforts to help a group of children of local poor families go to school at the executive meeting of the State Council There is only one standard for the pilot work of cooperative medical care This speech and Vice Premier Wu Yi's speech at the 2005 National Conference on the pilot work of new rural cooperative medical care Understand and understand the importance of promoting the construction of new rural cooperative medical system in the work of "agriculture, rural areas and farmers" At the same time, it is the duty of the agricultural department to participate in the construction of the new cooperative medical system It is necessary to clarify the office and personnel, and earnestly complete the tasks assigned by the joint meeting of the new rural cooperative medical system of the government at the same level 2 We should make use of the propaganda tools of the central and local agricultural TV stations, radio, newspapers, magazines and networks to open special columns and topics, publicize the significance of the new cooperative medical system, work policies, target principles, financing and reimbursement management methods, and publicize typical experience In the past, we only took part in rural cooperative medical care from the perspective of safeguarding the rights and interests of farmers and reducing the burden of farmers, mainly emphasizing voluntariness At present, the new rural cooperative medical system is mainly funded by the state and local finance, and farmers can enjoy 40 yuan of medical subsidies for only 10 yuan The agricultural sector should actively publicize this important measure of the country's back feeding rural areas, so that more farmers can further understand the new rural cooperative medical system, so that more farmers can voluntarily participate in the new rural cooperative medical system, enjoy the guarantee of the cooperative medical system, and enjoy the care and warmth of the country 3 Assist the health, finance and other departments in the management of financing, adhere to the voluntary principle of financing and supervise the use of funds At the same time, we should carry out in-depth investigation and research in rural areas, pay attention to the opinions and requirements of the farmers, study ways and methods to solve the outstanding problems reflected in the pilot, and constantly improve the new rural cooperative medical system and operation mechanism, so that the new rural cooperative medical system can continue and develop healthily.