Comparison Of Hospital Expense Among Patients In Urban-rural Basic Health

Objective:On the basic of implementation of Employee Medical Insurance, Residents MedicalInsurance and NRCMS, we study the Employee Medical Insurance, ResidentsMedical Insurance and NRCMS, describe hospital expense and the actualcompensation level among patients in urban-rural basic health, compare the differenceand provide suggestions for medical insurances.Research object and Methods:The first object is the system of Employee Medical Insurance, Residents MedicalInsurance and NRCMS. The second, We got data from one general hospital in the cityof the Southern AnHui, used analysis of variance to compare the difference of thehospital expenses among patients in urban-rural basic health. This study adoptsliterature review, the method of qualitative and quantitative survey to investigate thepolicy of subject research and statistical data before, through the expertsdemonstration, field research methods, to obtain the related information.Result:The system of Employee Medical Insurance, Residents Medical Insurance andNRCMS perfected gradually, the basic of the catalog of medicines, the primarydiagnosis and treatment, the facilities directory improved step by step. The actualcompensation level of Employee Medical Insurance, Residents Medical Insurance andNRCMS was much more than before, and constantly improve the level of medicalsecurity, the burden of individual responsibility was dropping down. From the resultsof the survey, the actual level of medical security of the Employee Medical Insurance,Residents Medical Insurance and NRCMS was78.1%,52.0%,15.1%, respectively. the actual level of medical security of the Employee Medical Insurance, ResidentsMedical Insurance and NRCMS is different. It was significant differences inurban-rural basic health. The actual level of medical security of the EmployeeMedical Insurance was higher than the actual level of medical security of ResidentsMedical Insurance and NRCMS.From the hospital expense of study, the hospitalexpense of patient of the Employee Medical Insurance, Residents Medical Insuranceand NRCMS was8703.7yuan,6383.8yuan,6045.6yuan. The NRCMS was thelowest. The Residents Medical Insurance was the second. The Employee MedicalInsurance was the highest. From the average of comparison of compensation, theNRCMS was910.1yuan, the lowest. The Residents Medical Insurance was3062.7yuan, the second. The Employee Medical Insurance was the highest,6796.4yuan. Weanalysed the hospital expense of the malignant tumor of lung patients in urban-ruralbasic health. The Employee Medical Insurance was the highest,10055.7yuan, is1.45times of The Residents Medical Insurance, is1.84times of The NRCMS.TheResidents Medical Insurance was6919.1yuan. The NRCMS was5451.7yuan.Finally,the average of comparison of compensation was significant differences in urban-ruralbasic health. Although the funding level of medical insurance of urban-rural basichealth was rising, the needs of health care were gap.Conclusion:The government should strengthen the supervision the hospital expense of EmployeeMedical Insurance, Residents Medical Insurance and NRCMS, optimize the hospitalexpense in the cost structure in urban-rural basic health, improve the labor value ofmedical staff. In addition, the government should strengthen investment in urban-ruralbasic health and promote the fairness of health service. Finally, we should reform thetype of payment, and further improve the quality of medical service.