The Evaluation On The Operative Effect Of The New Rural Cooperative Medical Scheme In Yushu City

Purpose(1) To understand the equity of utilization of new rural cooperative medical care in different economic levels rural areas.(2) Analysis of the utilization situation of health services of the poor and the non-poor people.(3) Analysis of the utilization situation of health services of the patients treated in three different levels hospitals.(4) Analysis of the utilization situation of health services under different compensation models and under different compensation proportions. And find the advantages and disadvantages of different compensation models.Method(1) The twenty towns of Yushu City were divided into three groups by the per capita income of farmers. To compare the utilization situation of health services and the situation of medical costs and compensation in different economic levels rural areas.(2) With stratified random sampling three towns from 20 towns, and according to the poverty standard in 2009, the farmers whose average annual income fewer than 1067 Yuan are classified as poor people. Analyze the utilization situation of health services and the situation of medical costs and compensation of the poor and the non-poor people in 2009.(3) Medical units have been divided into township hospitals, county and municipal level hospitals, non-local hospitals. Analysis of the person-trips, medical costs and compensation of patients hospitalized.(4) Comparison related indicators of new rural cooperative medical care of towns selected from 20 towns in 2007 and 2009. Statistic analysisConventional data table using Excel to sort, using SAS9.2 software for data statistical analysis. Measurement data with M (QL- Qu) to describe the hypothesis test using rank sum test; count data with constitution ration to describe, the hypothesis test usingχ2 test.α= 0.05 is the test level.Results(1) The use of the health services is still unfair among regions in different economic levels. The participation rate and the use of the health services of the regions in good economic conditions are higher.(2) The poor health situation has improved,but still has a long distance compared with the rich. The participation rate of the poor is nearly 100%. Compared with the rich, the utilization of clinic is lower, but the Hospitalization rate and the utilization of chronic are higher. The rich more easily transferred to high-level hospitals.(3) Outpatient co-ordinate can improve the enthusiasm of the patient, Increased the benefit of the farmers. The utilization of clinic and hospital and chronic in 2009 are higher than 2007. The patient more easily transferred to high-level hospital in 2009.Policy suggestion(1) We should improve the ratio of compensation and compensation patterns, making it more conducive to the development of rural health care.(2) Continue to support the poor, make the condition of poor is closer to the non-poor. Ease the problem of poor cased by illness.(3) To strengthen the level of the primary health services, to meet the demands of farmers in health service on higher level, give convenience to peasants on Medical treatment and save the costs on illness.