Study On Government Functions In New Rural Cooperative Medical System Building

The new rural cooperatives medical service is one of the most important components of the rural community safeguards system. As our country's rural community develops, the farmer's health safeguard demand also gradually enhances. To meet the demand of our country's economic and social development, the Central Government adopted an important strategic decision to address the countryside resident medical service safeguard questions. What kind of responsibility to fulfill, how to play the role, in order to advance the new rural cooperatives medical service system and to consummate and the sustained development unceasingly, becomes an important topic suspending in front of all levels of the governments.By the comparison of the tradition cooperative medical treatment and the new rural cooperatives medical service development process and by the analysis of our country farmer medical service safeguard present situation, this article first proposed government's basic responsibility in the construction of the new rural cooperatives medical service system; Then proved the government basic responsibility inevitability in the union of the theory and the practice; Follows discovered the question and the insufficiency through the analysis of the government's fulfilling responsibility situation in the new rural cooperatives medical service implementation of Dongying; Finally proposed some policy and measures to raise the work efficiency of the government resumption.Through the research, the following conclusions were drawn:(1) The responsibilities of the government in new rural cooperatives medical service system: First, policy design. Formulate the scientific and reasonable policy, definite the department of raising money, establish the range of safeguard and so on. Second, resource investment. Keeping the uniformity of the function transformation and the resources investment, enlarges the manpower, the physical resource, the financial resource investment. The key point is the financial support. Third, the organization implements establish the leadership management structure, carries on the propaganda launch, organizes the experiment site promotion. Fourth, management surveillance. Carry out each system, use the advanced management tool, strengthen each movement link's surveillance, and guarantee the new rural cooperatives medical service health sustained development. Fifth, optimize the external environment. The improvement production living condition; create the good medical environment, the enhancement new rural cooperatives medical service result.(2) In the new rural cooperatives medical service construction, the government's responsibility is getting more and more defined, and the role the government plays is getting bigger and bigger. Looking from the practice of Dongying's new rural cooperatives medical service, all levels of the government fulfills the responsibility well, innovate consummated the fund raising mechanism which is"four levels of fund raisings, the family senate to gather, the villages and towns drafted give, voluntary signing", the operational mechanism"family account and overall plan account splitting, cooperative medical treatment compensation and big sickness medical service rescue double-decked safeguard"and the supervising mechanism"the society supervised, the fund audit, the seal movement, the network management". The new rural cooperatives medical service stepped onto the standardized management track gradually, the enthusiasm which the farmer senate gathered enhances unceasingly, profits the surface to expand unceasingly, sent because of sickness poor, returns to the poor question because of sickness to obtain the effective alleviation, the farmer'health awareness obviously enhanced, the countryside health enterprise can develop fast. (3) In the new rural cooperatives medical service system construction, the main problems of the government'responsibility fulfillment that could not be neglected: The policy design is still in imperfection, and the overall plan pattern is not very reasonable. What's more, the fund raising standard with reimburses the proportion to be somehow low, reimburses the means to be complex, the procedure is tedious; Senate gathering rate is imbalanced; Financial support dynamics needs to enlarge, fund procurement use endless standard; the supervisory mechanism waits for consummating; Countryside health system construction lag and so on.(4) The government resumption proposes the effect and the universal establishment of the new rural cooperatives medical service system demands further consummate the fund raising mechanism, expands the fund raising channel, adopts the rigidity way to raise money gradually, raises the fund raising standard gradually. Demands to further consummate of the management system, establishes the management structure reasonably, the renewal of the way of management, the scientific reckoning compensation proportion, the simplifying compensation procedure, consummating the supervising mechanism; Demands to further optimize the rural sanitation resources deployment, programs the Medical establishment to construct reasonably, cultivates the market main body, optimizes the market environment, the deepen sanitation system internal management organizational reform. Demands to speed up the legislative advancement, so as to realize the new rural cooperatives medical service legalization and the standardization.