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湘潭大学硕士学位论文新型农村合作医疗的非必要制度成本及其控制研究姓名：余正顺申请学位级别：硕士专业：行政管理指导教师：周批改20070605IIIAbstractBuildingnewruralcooperativemedicalcarehassomewhatrelievedtheburdenofpeasantstoseedoctorsexpensivelyanddifficultly,embodiesscientificdevelopmentideas,andhasalreadybeenadmittedbythegovernmentandeducationalcircles.Althoughtheexperimentsofthenewruralcooperativemedicalcarehasgotverybigachievementthenewruralcooperativemedicalcareconfrontswithalotofproblemstoberesearchedandresolved.Onbaseofstudyintheoryandpracticeweagreewellwiththatthemaximalproblemofitisaninadequatefundstheinsufficiencyofrunningandmanagingfunds.Thereasonaboutthisproblemliesmainlyintheunnecessarysystemcostsbesidesthelocalfinancialstraitsordifficulties.Therearefourkindsofunnecessarysystemcostsinit:theunnecessaryfundingcosts;theunnecessarymanagingcosts;theunnecessarysupervisingcosts;theunnecessaryopportunitycosts.Thereasonwhytheunnecessarysystemcostsofthenewruralcooperativemedicalcareexistliesmainlyin:Thepassivityofthemainsystembenefitors;Theself-interestofthemainbodywhocarriesoutthesystem;Theabilityfinitenessofthemainbodywhocarriesoutthesystem;Theconstraintoftraditionalideas.Theloweringofthenewruralcooperativemedicalcareissystemengineering.Itisnecessarytostartwithfinancingmechanism,managingmechanism,supervisingmechanismandoffsettingmechanismadvancingsidebyside.Thenitispossibletoachievegoodresults.Fromthelongview,itistoberespondedfromseveralaspectsasfollows:Makestrictsystemofcost-controlling;Makeuseofscientificandtechnologiccreation;Strengthenthecollaborationofsystems.Atpresentitistoberespondedfromseveralaspectsasfollows:Mergetherelatedmanagerialinstitutionsormaketheconcretebusinessmanagedbycommercialinsurancecompany;Practiceclassifiedunifiedfinancingwaytothefeespaidbythepeasants;Encourageandattractpeasantstoparticipateinthemanagementofthenewruralcooperativemedicalcare;Makethedutytosupervisetheruralcooperativemedicalcareexercisedbypeople'scongressandstandingcommitteeofthevariouslevels;Carryouttheimmediatewaytooffset.Theviewoftheunnecessarysystemcostsofthenewruralcooperativemedicalcareisacreationduringthecourseoftheresearchonthenewruralcooperativemedicalcare.ThestudyonitwillboostthedevelopmentofthenewruralcooperativemedicalcareinpracticeandbringmoreandbetterquantitativeresearchesontheIIIsystemcostofthenewruralcooperativemedicalcare.Thesestudieswillimproveandperfectthenewruralcooperativemedicalservicesmakecontributionstoimprovingpeasants’healthbeing.Keywords:theruralcooperativemedicalcare;unnecessary;systemcosts;control11.11.1.1GDP3%2090%10%20021020102005678()23.7%2.361.7975.8%71.4%584.963.27%47.8577.49%1.2261.7681.95%19.2284.48%2005121.9888.1276.3%20058.[N],,2006-04-2616.210101020081.1.21.2.3.31.21.2.119861.2.1.5%2.0%30%1.0%1.5%50%60%.[M].:.2003:155..[J].,1995,(3).,.[M].:,2001:207..[M].:.2003:154.440%50%25%40%10%25%ABd=D/TDTd3.304.,.[J].,2005,(1).,.[J].,2005,(1):143.45.5%21.7%8.4%.,.[J].,2005,(3)..[N].,2005-11-011.,,.[EB/OL].[J].,2001,17:281-282..[J].,2000,16:280-282..[M].:,1995.George.Schieber:InnovationsinHealthCareFinancing,Washington,D.C.TheWorldBank,DiscussionpaperNo.365.1997.P.2.61994-199671441996-2000IHPPIDRCIDS1993-1997351985-1993II1999.[EB/OL][M].,1998..[J].,1994,14,3...,2001-12-12.,,.[R].,2000-06.71.2.31-231.381.492.12.1.1-().[J].,2004,A10.7.,.[M].:,2001:69..[EB/OL]:CambridgeUniversityPress:38-48..[J].(),2000,01.47..101234561.2.3.4.5.2.1.2..[J].,2002,03.ArrowKennethJ.TheOrganizationofEconomicActivity:IssuesPertinenttothechoiceofmarketversusNon-marketAllocation..[EB/OL].,2006-04-13..[M].:,2004:130..[J].,2001,08.11-MaxR()C().tR()C()W(u)2.1R(u)C(u)W(u)2.1.3().[A]..[C].1991:274..[J].,2005,08.15.16..[J].,2002,03.12()1.2.3.4.5.2.22.2.1131.2.3.4.2.2.22.2.2.11.2..[M].:,2004:145.142.2.2.2-53.3%70%13%0153.13.1.110=/10-6200320043.13.212620030.850.21.23.129%3.20.620040.380.10.93.13.20.320031.961733.2163.1200320046200320045.87303.00006.00003.00005.48103.63751.29600.400015.02.033.650012.0375280.7280313.48901.20.4200320046.18942.20007.73701.60000.82762.91240.72000.72000.00.015.47007.4300209.9500208.32000.70.4200320041.96000.60009.00002.000014.00006.000015.00003.00003.02.042.960013.6000388.3000384.50001.10.4200320043.00003.00003.00003.00005.00003.00003.00003.00003.03.017.000015.0000149.9040172.60001.10.9200320049.02001.15000.00000.00001.13000.20000.00000.00004.40.114.53001.4500186.0000192.00000.80.12003200417.00001.50002.00002.00001.00001.00001.00001.00000.00.011.00005.5000720.0000595.00000.20.1.2006291.3.2620022004230428.07150220.99103877.66116614.99145118.69142024.09.2006291.2006275.176200420040.420.220.943.30.590.263.3200415.4118.0020.5426.2224.0628.214.833.623.262.593.502.373.361.231.111.220.800.910.713.602.512.041.792.591.660.940.350.470.220.310.240.425.773.973.732.813.812.613.78.2006225.3.1.2183.42004%169177.783833115.151814128.572619136.84111110034