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目的:新农合制度建立有效推动了我国农村卫生事业发展。但随着市场经济与城镇化的推进,其制度本身弊端也日见端倪。只有深入挖掘我国农民异地就医报销的现实困境,才能为整合新型农村合作医疗找到合理路径。方法:文献研究与走访调查相结合,定量分析与定性分析相结合。结果:发现我国各地新农合制度不统一、统筹程度低与信息化建设不健全等,严重地限制了农民异地就医的转移接续。结论:从市场引导、制度设计、信息化建设与政府监管等多方面入手,提出了整合我国农民异地就医报销的策略。
Objective: The establishment of NCMS has effectively promoted the development of rural health in our country. However, with the promotion of market economy and urbanization, the drawbacks of its own system are also becoming increasingly apparent. Only by digging deeply into the reality of the plight of peasant farmer reimbursement for medical treatment in other places can we find a reasonable path for the integration of new rural cooperative medical care. Methods: The combination of literature research and interview investigation, the combination of quantitative analysis and qualitative analysis. Results: It is found that the NCMS system is not uniform, the overall planning level is low and the information construction is not perfect, which severely limits the transfer and continuation of peasants’ medical treatment in different places. Conclusion: From the aspects of market guidance, system design, information construction and government supervision, the paper puts forward a strategy of integrating the peasants’ reimbursement for medical treatment in different places.