Chapter 1: Social practice content and overview background.
Rural health work is the focus of health work in China, which is of great significance to improve the quality of the whole nation. Since the reform and opening up, the party and the government have taken a series of measures to strengthen rural health work, and the health level and average life expectancy of farmers have been greatly improved, but overall, rural health work is still relatively weak. Therefore, the establishment of a new rural cooperative medical system is an important content of rural health work in the new period, a concrete embodiment of practicing Theory of Three Represents, and of great significance to improving farmers' health level, promoting rural economic development and maintaining social stability.
One: Practical significance
My investigation on the new rural cooperative medical system in the reform and opening up is mainly through various forms of investigation to understand the development and influence of the new rural cooperative medical system in Yaojiaba Township from the perspective of college students. Finally, according to the actual investigation results, fully communicate with Yaojiaba township government, analyze the reasons why its new rural cooperative medical system can be carried out smoothly, and provide reference opinions for solving the "three rural issues" and rural health work.
Second: practical content
(1) Visiting doctor of Yaojiaba Township Health Center
Through interviews with several doctors in Yaojiaba Township Health Center, we learned about the basic situation of the township health center, the overall situation of serious illness and the situation of farmers seeking medical treatment in the township. After the district health department introduced the new rural cooperative medical system policy, Yaojiaba Township Health Center put forward its own policy of benefiting the people. In the hospital hall, there is a display board about the knowledge introduction of the new rural cooperative medical system and the flow chart of cooperative reimbursement settlement, which is helpful for farmers to better understand the new rural cooperative medical system.
(2) Visiting rural clinics
Starting from the township health center, we visited the clinics in Yangjiaqiao, Bayantang, Zhiqianqiao, Tongjiawan and Changlong. Through the visit, I saw the medical facilities in these village clinics: most of these village clinics have only one doctor, at most two; However, there are few medical instruments, and most diseases are diagnosed by doctors' "looking, smelling, asking and cutting", such as B-ultrasound, CT and other instruments are invisible; Most intravenous drip patients are sitting in the hall, with no or only one ward, and the beds are seriously insufficient. ...
(3) Distribution of questionnaires
Through further communication with farmers, I obtained more detailed and useful information, such as the lack of policies, the difficulties encountered, and the model of new rural cooperative medical care. In the communication with village cadres, I learned about the implementation of village policies, including the fund-raising standards.
In the communication with farmers, I gained the most. I raised some questions, including the specific time to join, the reasons for starting to join, the current ideas, the feelings of benefiting, the satisfaction with this policy, and the views and expectations for improvement.
Finally, I distributed the questionnaire.
(4) Inquire about the implementation of cooperative medical care in Changsha, Zhejiang and Tibet on the Internet.
(5) data sorting and analysis
By integrating the data of online inquiry and the statistics of questionnaires, I found that:
First of all, the development of the new rural cooperative medical system is closely related to the local economic development. Relatively backward areas have higher requirements for basic medical and health conditions, while relatively developed areas have lower requirements for basic medical and health care, but the demand for medical insurance services is more prominent.
Secondly, the implementation effect of the new rural cooperative medical system is also obviously different. After analysis, the differences mainly exist in the following aspects:
(1) reimbursement. Mode: Online direct reimbursement is adopted in this area. In order to reduce the complexity of farmers' reimbursement, farmers only need to pay the remaining amount except reimbursement after discharge.
(2) Reimbursement ratio: The greater the reimbursement ratio, the higher the enthusiasm of farmers. However, in some poor places, the government does not have economic strength, resulting in a low reimbursement rate and low evaluation by farmers. The ultimate and fundamental reason is that the faster the economic development, the greater the benefits it brings to people.
(3) Other policies: The new rural cooperative medical system should only cover serious diseases, but for people in Jinzhou, for example, serious illness surgery not only reimburses hospitalization expenses, but also the government gives other policy assistance, such as reimbursing appropriate outpatient expenses and giving extra support to pregnant women, which are inseparable from the government's policy of benefiting the people. Therefore, we can draw a conclusion that the implementation of policies in different regions plays a more important role while the state introduces policies.
(VI) Problems in rural cooperative medical care
(1) The government's expectations are too high and farmers' understanding is low;
(2) The organization is not perfect, and it is difficult for villagers to submit accounts;
(3) The medical price is too high, and patients have doubts;
(4) More people go out, making it more difficult to raise funds.
Three: Summary
Looking at twenty topics, I feel very confused. However, I was inspired by a news report I happened to see on TV. As a rural person, I can combine current events and make use of environmental advantages to conduct a survey of rural cooperative medical care.
So I did, and the next day, I began to visit and investigate as planned.
Not to mention the cold wind, the road is muddy and far away, and I have hit the wall countless times. In short, this social practice activity has provided me with an opportunity to get in touch with the grassroots extensively and get to know them. Go deep into the grass roots,
Going deep into the countryside has taught me a lot of knowledge that books can't. Also officially understood. "
The meaning of the resounding slogan "Come from the masses and go to the masses". In practice, we link personal destiny with the destiny of society and country, and feel our sense of existence and the insignificance of a drop in the ocean. This short and substantial practical experience will be an important and beautiful period in my life, and it will also be very helpful for me to go to work in the future.
Social practice has enhanced my planning ability. I used to think that social surveys were just a few questionnaires, but when I really plunged into them, I found that both the choice of survey sites and the setting of survey questions were well thought out. Too few people and too one-sided people will directly affect the survey results and lead to the failure of the whole survey.
Social practice has taught me about the real society. All kinds of love activities show us that there is a dead end in social and economic development, and many people are in crisis and need our help. At the same time, these activities also give people a reassurance, because the future of China is the same as that of college students. College students' special concern for vulnerable groups makes us see the hope of realizing a harmonious society. What you get on paper is so shallow that you never know what you have to do. Experience various social occasions and convey love and sunshine. In practice, I grow up with the society and have fun with others.
Chapter II: Content and Summary of Social Practice Through the investigation of social practice in recent weeks, individuals feel and learn a lot from real life and feel that they have new growth and cognition.
To complete an actual investigation report, especially the actual work that requires teamwork, it is very important to choose good team members. One of the most important qualities that these team members need is to be proactive in practical activities and willing to undertake corresponding responsibilities and obligations. The members of our group are very active in this actual investigation and are very focused on their own tasks. I feel very lucky when I hear other students complain. So this also let me know that I must not slack off in the group in the future, and I must not let other people's negative emotions affect me. Maybe we are just a small screw in thousands of devices, but only by giving full play to our own strength can we make everything run in an orderly way and show our importance and indispensability. On the contrary, it will form a negative mentality that is no longer needed by others, and it will become more negative and inferior, forming a vicious circle.
Practical investigation needs to be fully prepared in the early stage, including the theme, method, content and task arrangement of the team members. It should be clarified. These are all discussed by all the team members. Of course, there are also many differences during the discussion. We adopt the method of taking more from less, so everyone will choose the best scheme according to the advantages and disadvantages. In the task allocation of team members, it is also to give full play to their strengths and make full use of their own resources. After full preparation, there are also some unreasonable places in the practice these weeks, such as modifying some investigation contents and adding some new ideas to the report contents. Exercise is not accomplished overnight, and its completion needs to be revised repeatedly according to the actual situation, which requires our patience and mutual support.
In this practical activity, I helped the students who were responsible for distributing questionnaires. I found that not everyone is willing to help us with the questionnaire from time to time. I was a little disheartened at first, but I can fully understand it from another standpoint. Therefore, in order to make everyone willing to help us, we patiently communicate with them and thank them with a smile, explaining our intentions. In fact, this lets us know that we can't impose things on others, but we should use our own efforts to complete the task and make ourselves very satisfied. We are already college students. To some extent, a university is half a society. Besides studying textbook knowledge well, it is also very important to learn to communicate with others, which is a more important basic skill to improve our textbook knowledge to a certain extent. Mastering this skill requires our rich knowledge and experience. This requires us to combine theory with practice and get in touch with social things more, instead of staying in pure theory. Expand your knowledge as much as possible to prepare for entering the society in the future.
This social practice has also enriched our daily life, and made us feel different from the previous experience of just studying and surfing the Internet, and realized a sense of reality combining theory with practice. We all think that textbook knowledge is not so rigid, but in fact, we can realize their practical significance in many ways. Enhance our confidence and motivation in learning knowledge.