Analysis On The Influence Factors Of The New Health Care Reform On The Farmers’ Medical Benefit Level

Health care reform is not only a dilemma facing our country, but also the problems of the world. As the most vulnerable groups of the population, farmers deserve better health care. Since the new century, with the more serious unfair distribution of medical resources,the problems which people complain most( "difficult" and "expensive") has become increasingly prominent, and a new round of health care reform is needed. In contrast, there is a fierce debate over using market, government, or a third way.The overall objective of the new health care reform is to establish a sound basic medical and health system of urban and rural residents, thus to providing safe, effective,convenient and high-quality health services for the people. Since 2009, the new health care reform has been implemented for six years. By review the medical and health system reform since the founding of China, in accordance with the characteristics of China’s stage economic reform, combined with the actual progress of health care reform enacted and related policy documents, this paper divided four stages and a number of medical benefit evaluation factors. Chapter 2 mainly studied the internal mechanism of the NCMS and discussed three major obstacles: the NCMS financing mechanism, NCMS management mechanism and the NCMS compensation mechanism. In the chapter 3, using principal component analysis method to analyze the survey data, extracted ten main components of the farmers benefit level index and discuss it. Chapter 4 used qualitative research methods to discuss the new health care reform affect benefit levels of farmers. From the perspective of rural residents, according to the longitudinal dimension of time, for two consecutive years through fieldwork, interviews and questionnaires to obtain first-hand data, compare before and after the new medical reform policies, to learn about new farming co-implementation of the rural population and changes in health status levels. Farmers through a unified objective factors and subjective indicators, analyzes the objective and subjective reasons for the level of medical benefit, at last the paper found that though farmers are high support government efforts on the new health care reform, new medical reform in drug prices, medical services, medical care and convenient degree did not reach the farmers satisfactory, even some farmers suffer a reduction on the level of medical benefit.The last chapters analyzes the relationship between the choice behavior of farmers and the level of medical benefit, then classify and summarized the conclusions of the twoanalysis methods. From the new fair under the responsibility of Public Management and responses three dimensions, the paper promoted that government should clear the new medical reform values, pay attention to the communication between the government and the rural, citing third-party supervision, using two-way reply mechanism, improve the democratic rights of farmers. At the same time, the paper made an outlook on the future direction of the new medical reform and proposes some feasible ideas to improve farmers’ medical benefit levels. These also provide a reference for the improvement of the new medical reform.