Research On The Rural Medical Security System And Its Function Model In View Of Source Control

China is a big agricultural country, and the rural population accounts for more than 80% of the total population. Establishing and improving the rural medical security system should be the focus of our social security system. It is not only related to the protection of rural productive forces, the revitalization of the rural economy, social development and maintaining rural stability, but is also of great significance to enhance the quality of the whole nation. However, due to the social structure of China's urban and rural dichotomy, the security level of rural medical security system from the day of its birth lags far behind the one of urban medical security. And reform and opening up, under the guidance of the market-oriented reform policies, the rural medical insurance is a nosedive, and the great majority of rural residents rapidly return to a state of the pocket. In the face of rising medical costs, many farmers are impoverished by illness which led to a series of social problems not getting the selection and planting a hidden danger to social stability.The problems existing in the China's rural medical insurance system caused widespread concern in the academic community. Different scholars achieved the different academic ideas and academic point from their own perspective. From the three points which are the attributes of health and the evaluation of the original rural cooperative medical system and the reasons what led the current rural medical to trouble, this paper simply repeats and sums up the major theories and viewpoints of the scholars at home and abroad. And raise the preliminary idea of the establishment of the rural medical insurance system based on source control by the outcome of the unprecedented number of the predecessors'theories. Try to start with the source from the disease, changing"treatment, such as sitting with"to"take the initiative", and control the occurrence and development of diseases to minimize the probability that cause the disease and the risks associated with the disease. Block the high medical expenses from the source to essentially solute the problem that the peasants can't afford the medical expenses.Since 1995 when China's rural has officially appeared cooperative medical care system with the nature of insurance, China's rural medical insurance system was determined largely through four development period: the period of vigorous development,"taking the prevention for the first"; the period of decline,"lacking the responsibility of the government";"Market-oriented"for the rehabilitation and reconstruction period; And the current period of the new type of rural cooperative medical system,"taking the serious ill for the first". Recalling history, we can clearly see the construction of the system according with the development laws of health and the government's focus on rural medical care system with a reasonable intervention are the key to success or failure of China's rural health care system. The planned economy period, it is precisely because the government is committed to build the primary health care with the concept"early disease prevention and the treatment of illness", putting the emphasis on health prevention and eradication of infectious diseases, the international community has been able to make remarkable achievements. Therefore, "taking prevention for the first" is also the principle what China's rural medical security system should always adhere to.In the construction of the rural medical security system, we should learn experience from Thailand, Indonesia, the Philippines and India. Similarly with China in the actual situation, the four Asian countries are transiting from traditional agricultural country to a modern country, but their level of medical care in rural areas is higher than in China. Therefore, we have to explore some of their practices to obtain some inspiration. In the system design, these four countries have some characteristics which are the government dominating, prominent disease prevention and farmers enjoying cheap or even free basic medical security features at least. As for us, we have chosen a stark contrast road which attach importance to treatment and light the prevention, deviated from the rules of medical development and cause many problems. This shows that the problem in China's rural medical insurance system lies in the unscientific design and the unreasonable goal.The source leading the current rural medical security system to be hobbled focused in on the depth level such as the philosophy of system, values and the distribution between the main bodies. First, China's rural health care system is plagued with serious orientation bias, excessive attaching importance to"the feed support", neglecting public health, as a result disease prevention medical almost completely replaced by the treatment. Second, the voluntary organization model will inevitably exclude the part of the financial difficulties farmers from the system, so the fair of health supply is not high. Third, the shortage of health resources makes the majority of the rural resident pocket. Fourth, the low efficiency of primary health services has made the original three-tier churning network of rural health service a figurehead, and the preventive health function can not go to the villages. Fifth, the lack of legal basis results in randomly policy which is conducive to supervision and management.This shows that China's rural medical insurance system exist serious flaws in the locating the target. This is not solved through making minor repairs, and we need to adjust the values from the source. This paper acknowledged the existence of the concept of comparative analysis of three formed, that the priority for all health care in rural areas, On this basis and as many more rural residents to meet the requirements of the medical model is more realistic and reasonable options for the guidance of the concept of re-building a source control on the rural medical insurance system.This paper analysis the three acknowledged formed concept, and the model that the priority for all health care in rural areas, on this basis meeting more medical requirement of more rural residents is more realistic and reasonable options. By the guidance of that concept, we try to re-build a source control on the rural medical insurance system. First, the government should assume full responsibility for public health services; secondly, with government investment as the mainstay and the collective and individual responsibility as the supplement, establish the health-care system to meet the basic health needs of all farmers; And the risks of the randomness of clinical services will be defused through commercial insurance based on personal and family contributions. Therefore, the government will shift the focus of medical intervention services in the rural health services with high performance, choking the possibility of disease off from the source and reducing the extent of the loss caused by disease. In the operation mode, the security system should pay attention to the following five aspects: 1.clear the responsibility of the government, and increase the resource input in rural health care; 2.establish a scientific medical intervention, and enhance disease prevention; 3.reform the primary institutional duties, and improve the Three-level rural medical and health service network; 4.establish a early disease warning mechanism, and inhibit sudden public health incidents; 5.strengthen vocational education and training, and improve the professional standards of medical staff. Meanwhile, the government should also do a good job with the relevant supporting system of rural medical insurance system reform, and then the relevant reform will concert a powerful effort with rural medical care system together, and jointly promote the health of rural residents improved.