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目的:调查贫困山区新农合发展现状及存在问题。方法:采用问卷调查法和访谈法,从新农合参合人、基层实施者及管理者的角度调查通道侗族自治县新农合发展情况。结果:该县参合率逐年增高;新农合制度本身已获得了该县广大农民及基层医务人员肯定及认可;基本实现了“小伤小病不出村,大病基本不出县”的就医格局。结论:该县新农合发展情况良好,但实施过程中还存在农民对政策了解不全面、筹资困难、监督制度不完善等问题。
Objective: To investigate the status quo and existing problems of NCMS in poor mountain areas. Methods: The questionnaire survey and interviews were used to investigate the development of NCMS in Tongdao Dong Autonomous County from the perspectives of NCMS participants, grassroots implementers and managers. Results: The participation rate of the county increased year by year. The system of new rural cooperative medical system has been affirmed and endorsed by the peasants and grassroots medical workers in the county itself. It has basically realized the principle of “no small wounded small village disease and no serious county outbreak”. Medical pattern. Conclusion: The development of NCMS in this county is in good condition. However, there are some problems such as farmers’ incomplete understanding of policies, financing difficulties and imperfect supervision system.