The Research Of The New Rural Cooperative Medical Insurance System In Lishui

At present, the new rural cooperative medical insurance initial progress has been made in Lishui. But at the same time there have been many problems, the impact of the phase of the development.This dissertation starts to talk about the history of rural medical insurance, and it takes the rural cooperatives medical service(CMS) system as the object of study. Based on the health economics theory,and Lishui's rural cooperative medical system and the reality of health care situation. The new rural cooperative medical care in the implementation processes a number of problems. The reason is we learn from foreign experience in the rural cooperative medical care. On how to further improve the new rural cooperative medical care system are discussed, and pointed out the need for compensation for the structure of incentives, incentive mechanism ,government policy support and so on to improve the situation.The dissertation lay out is arranged as follows:Chapter one The Introduction mainly explains research background and significance, gives a brief review of relevant literature, and states the research methods and contents.Chapter two Mainly analyzes the financing, provision and management of China's rural medical system.Chapter three Analyzes the current status of Lishui's rural medical system, including medical financing, service provision and sector management, and evaluates the performance of the rural medical system. A case study of TB control in Liandu District is given to illustrate the problems existing in Lishui's rural medical system.An analysis and assessment on the current new type of CMS is also put forward. A case study on the operation of CMS in Lishui is given to illustrate factors influencing the sustainable development of CMS.Chapter four The dissertation first introduces the existing medical financing mechanisms in the world and the exploration of community-based medical financing mechanism in rural areas in developing countries, then analyzes the financing, provision and management of China's rural medical system, reviews the medical security system in rural area, the historical evolution of CMS and reasons behind its disintegration, and studies the features, defects, and problems of the new-type CMS.The dissertation first introduces the existing medical financing mechanisms in the world and the exploration of community-based medical financing mechanism in rural areas in developing countries,Chapter five Puts forward a reform model of CMS. It provides in detail the financing standard, compensation package, and payment methods to the service providers. Proposed through the drive mechanism solution reversion choice question. Satisfies the different level through county two systems the demand, and appealed the government enlarge to various basic units manpower, the physical resource investment, enlarges to the rural cooperatives medical service propaganda.