| Agriculture,rural area and rural farmers are a fundamental issue related to the national economy and the people’s livelihood.We must always take solving the "three rural" issues as the top priority of the whole Party’s work.Medical security is also the key to the "three rural" issues.As the rural residents’ common concern,farmers’ medical security is not only a major issue that needs to be resolved urgently in society,but also connected with the health of hundreds of millions of rural residents and the various contradictions in the countryside.The mitigation of the “three rural” issues has a great impact on the promotion of the country’s targeted poverty alleviation and rural revitalization.The thesis is based on Maslow’s hierarchy of needs theory,public goods theory and Pigou’s welfare economics,using research methods such as survey research,comparative research,qualitative and quantitative analysis,through consulting government documents,data,field visits and interviews to study the rural medical security system of Zhanjiang.The main contents are as follows:The first part mainly elaborates the research background and significance of this article,the research status at home and abroad,and introduces the research content and methods of the thesis.In the second part,the concept of medical security and rural medical security system involved in this article is defined,and theoretical knowledge is used to research and analyze the construction of rural medical security system.The third part analyzes the current status of the rural medical security system in Zhanjiang,the results achieved in development and the existing problems through analysis of statistical data,field investigations and interviews with relevant personnel.The fourth part,by consulting related literature,drawing lessons from the medical security system models of Japan,Germany,Jiangxi Province,Guangzhou,summing up their experience,analyzing the methods that have done better,and drawing lessons for the construction of the rural medical security system in Zhanjiang.In the fifth part,in response to the problems mentioned above,by learning from the successful experience of other regions,we come up with practical and feasible countermeasures and suggestions to improve the construction of the rural medical security system in Zhanjiang.Through research,the following conclusions are obtained:(1)By studying the operating mode of rural residents’ medical security system,equipment and personnel of primary medical institutions in Zhanjiang’s rural medical security system,it is found that Zhanjiang’s rural medical security system has narrow financing channels for rural medical security and rural medical security.Problems such as low standards,insufficient medical security implementation plans,weak service capabilities of primary medical institutions,lack of talented people,and insufficient publicity efforts by government departments.(2)In response to the problems in the rural medical security system in Zhanjiang,in accordance with the new situation and new requirements of economic and social development,and use the experience for referenceon from rural medical security at home and abroad,corresponding countermeasures are proposed,aiming to further improve and construct a "Rural medical insurance as the main body,commercial insurance as the supplement,rural medical assistance as the bottom line,and the rural medical system as the guarantee" is a sustainable rural medical security system that fits the city’s reality. |