The Experiential Analysis Of The New Rural Cooperative Medical-care System Of Liaoning

The Chinese New Rural Cooperative Medical-care System (NRCMS) began in 2003, after 7 years of rapid development, has been almost achieved full coverage of rural residents. This system played a positive role on alleviating the problem of poverty due to illness. After all, the NRCMS was a new one with short history, the design of itself was still not perfect, the differences of natural conditions and developments of the region in addition, caused the difficulties of implementation. Liaoning province started the NRCMS exploration with 5 places in 2004, and has got gratifying achievements also, improved the utilization of medical services, alleviated the burden of medical costs and improve health of peasantries to some extent. Nevertheless, the various of economic development levels, population structures and natural environments impacted on the operation of the NRCMS; at the same time, the long-standing medical system problems also affected the efficiency of the NRCMS. Bring about the differences of social resources utilization and the medical system's effect eventually, which were disadvantageous to the harmonious development of society, influenced the realization of security goals also. Therefore, by using empirical analysis method to study the operation efficiency and regional differences of the NRCMS of Liaoning, can evaluate the implementation effect of liaoning roundly and scientifically, and in the light of the problems existed in the current system to put forward the corresponding suggestion. For promoting the NRCMS developed smoothly and efficiently in liaoning province, as well as realizing the ultimate goal of sharing peasantries'medical burden, promoting regional development has both theoretical and practical meanings.This paper begins with the basic theory, expounded the policy objectives of "fair, efficiency" and " help each other in all aid" of the NRCMS as an integral part of social insurance. Meanwhile, the design and operation of the NRCMS rely the basic principles of insurance, adhere to the basic principles of insurance is the foundation of the NRCMS'sustained development. In the empirical analysis, the paper focuses on inspecting the implementation of the NRCMS in Liaoning from both the perspective of fairness and efficiency. On one hand, by comparing indicators which reflect the coverage, financing, compensation benefits and other aspects from year to year, using graphs, charts and other forms of statistical analysis to describe the efficiency of NRCMS in Liaoning. On the other hand, in order to investigate whether there were differences of implementation among different economic regions or not, this article makes use of the method of Hierachical Cluster Analysis, according to the agricultural output value per person of each city as the investigation objects of classification, and finally divides 14 cities into 4 groups with different levels of economy, and then investigates the financing and compensation conditions of the NRCMS in different regions by using the Gini coefficient and Theil indexes, in order to find the differences among them. By using the Theil index, main source that lead the difference can be seen. In addition, this article also investigates the health care utilization of Liaoning from the perspective of both the supply and demand of health services, by the longitudinal comparison of time and transverse comparison of urban and rural, make a comprehensive evaluation on the equity and efficiency of NRCMS of Liaoning.Through the empirical analysis, it was found that under the situation that there's no significant changes on medical service resources, the medical services utilization in city was significantly better than that in rural areas, and the medical expenses burden on peasantries was relatively heavy; the medical service resources level was low in villages and towns. Liaoning had a high coverage level of NRCMS, poverty population achieved a full coverage basically, financing ability had made an overall improvement, the hospital compensation and the uses of fund had been improved as well. However, there were obvious differences of financing level among economic regions due to the different economic situation, and the municipal financial aid represents the corresponding economic strength; In compensation, the differences among cities within the region were obvious, especially among the cities within the less developed region. Therefore, the author proposed some suggestions to promote the development of NRCMS of Liaoning, such as strengthening rural health service network, improving service levels in rural medical institutions; increasing subsidies on peasantries; strengthening the propaganda to promote the realization of full coverage; designing different system for different region to promote fairness, etc.The innovation of this paper lies in:making the regional comparative study of NRCMS more reasonable by according to the agricultural output value per capita to group cities; using Gini coefficient and Theil indexes to analyse the differences; making a comprehensive and systematic analysis on the key indicators that reflect the coverage, financing and compensation status of NRCMS of Liaoning. However, due to the space limitations, this paper focuses on the internal implementation of the NRCMS of Liaoning, and pay less attention to the impact of Liaoning on the eastern region and the country; what's more, the history of NRCMS was short, the relative lack of data and certain degree of loss making some indicators of the study can not be achieved, leading to the conclusion based on data analysis biased to some extent.