<P>愚见</P>
<P>2楼的论文写作框架很规范,第2点可以去掉,因为如果要搞调查,未免流于片面,如果真想搞调查的话,应该把论文题目改成&lt;农村医疗保险覆盖范围研究----以***为例&gt;,不过既然2楼的列出第3点了,第2点是可以去掉的,至于制度评价的问题,不需着墨太多,因为这个论题本身就是研究一个指标参数的问题,可以按地域划分，分析不同地区农村医疗保险的覆盖面,并做些实证方面的分析,感觉论题还是很好的~~大家踊跃发言哈</P>

<P>谢谢楼上几位同学的指点，收获颇多。</P>
<P>还请路过的同学大胆发表自己的看法，不吝赐教:)</P>

现在研究农村医疗保障的文章很多，你可以选择新视点来写，我有两个建议，一是微观上的，把农村合作医疗当成农民的一个经济行为，研究寻租、道德风险等，然后从消费心理学与医疗体制特殊性角度加以分析。二是宏观上的，现在国家致力于社会主义新农村，你可以以合作医疗基点看医疗民主化与新农村建设。论文的优秀与否主要是看你研究的角度与创意。农村医疗保险现在主要是合作医疗形式，但是最高保险额是5000元，而且仅限于癌症、肺结核等严重疾病，可以说这是很不够的，城市30％的人口享受着70％的医疗资源，而农村仅有的30％的医疗资源是中国最落后的医疗技术，医疗保险的覆盖范围应该从现存的不足与农民的经济选择入手，不能简简单单地说应该包括什么，应该从民主化与城乡公平着手，探讨以医疗保险为基点的新农村建设。这是我的不成熟意见，有稚嫩之处望见谅。

[此贴子已经被作者于2007-6-28 9:54:27编辑过]

my 2c:<br>
<br>
1. you may want to do a pre-post kind of evaluation study looking at costs or access, since
different systematic interventions in terms of health care management
reform have been conducted in urban or rural regions. use the pool data
and account for the heterogenous  properties in different regions.<br>
<br>
or,<br>
<br>
2. you could also justify your hypothesis by examining the changes in
the elasticity of demand of certain health care services for  people in
urban or rural areas in a pre-post fashion, again, taking heterogeneity
into account.<br>
<br>
if survey or questionnaire is something you'd like to go for, please
keep in mind using a validated instrument, which is critical in every
survey study. you can use an existing instrument but please do not
"invent the wheels". otherwise, you'd end up with the measurement you
got is not what you wanted.<br>
<br>
one other tip, 可行性 or 重要性 or 必要性 sounds very fuzzy.
i take them only as the policy implications of your study, which may
only present in the very last paragraph of your article. you are free
to make comments or suggestions on policy but you probably want to do
so only upon what you've found in your study. you certainly don't want to emphasize on those fuzzy terms because they cannot be justified.<br>
<br>
the best way to develope your dissertation is probably thru massive
readings. NEMJ or HSR is probably the best place to start with.

[此贴子已经被作者于2007-6-30 5:41:34编辑过]

<P>城镇：医疗保险（非保障）为强制性，已为政策；覆盖范围之外的人群，正在改革之中。</P>
<P>农村：新型合作医疗（保险，亦为保障），自愿参加基本上就是有钱者参加，但政府的补贴力度在加大。</P>
<P>目标：全民医疗保障（非医疗保险）。</P>
<P>若考虑医疗保险覆盖面的问题，则应从理论着手。</P>
<P>若考虑医疗保障覆盖面问题，则选题无新意。</P>

<P>楼上的观点很有道理，覆盖范围研究的大多是理论上的东西，现在经济学理论都被研究了个底朝天，所以要研究电可行性比较强的。</P>

<P> 谢谢楼上几位同学的建议  呵呵</P>