System Model Defending And Treating Disease Based On Biomedical Engineering

Prevention and treatment of important diseases is a key question gained attention from all knowledge fields. Establishment of "system model defending and treating disease based on biomedical engineering" is a task whose settlement depending knowledge from medicine, biomedical informatics , computer , mathematics , evidence-based medicine , economics etc. It is led by related specialists in biomedical engineering and aims to provide forecasting system to improve clinical treatment efficiency, suvival rate and life quality of patients.My subject is a subunit to finish the main one of "System model defending and treating disease based on biomedical engineering",that is "measurement of new kind of cooperating medical ensurance system in China country",aiming to provide basic knowledge for the other subunits' researches about defending and treating about certain important diseases.Based on the general review of national and international medical assurance and the Old and New Rural Cooperative Medical System (NRCMS), and referenced from the principle and methods of medical assurance, this doctoral proposal has a comprehensive analysis to the present situation and the implementation of NRCMS strategy, then with the beginning of NRCMS fund calculation, it conducted a general detailed cost reckoning to the NRCMS compensation, management cost, health check fund, catastrophic disease fund and risk deposit fund etc. It focused on the index composed the NRCMS compensation fund per-cost out patient, per-cost in-patient, compensation ratio, out patient ratio and in patient ratio, risk factor (demand release) and increased index etc. This proposal then combined the NRCMS participant cost, ability to pay (ATP), willingness to pay (WTP) and the implementation of fund has a comprehensive calculation and assessment.Conclusions are drawn from the investigation and cost calculation:1.About the base-line investigation situation the six sampling have planned scientific implementing strategy that formed a well-conducted system. In the strategy, detailed item were made to thefund financing standard, the ratio of making up, ratio distributed etc. Qingzhuo County and Guangrao County had done better in the base-line investigation. They provided bountiful detailed information from sampling to family investigation and organization pilot; in the management of NRCMS fund, Laoshan district had its cost by "net bank", Linyi county strngthend its finance management by the monitoring bureau and Wulian County wide publicized its compensation for the participant in order to be convenient for consulting and social monitoring.2.From the result of NRCMS cost, we can see Laoshan and Qingzhou are higher than the others in the fund financing, Laoshan is higher 50% than its factual action, and Qingzhou is 14%, that means they still have more financing ability. The result of compensation cost are similar between the cost and implementation with the average about 75%-80%; about all the index, the highest per-cost out patient are Laoshan and Zhaoyuan and the highest per-cost in patient is Laoshan with 3880 RMB and the lowest is Guangrao with 1462 RMB as the representitive of local income, the compensation ratio got from balanced "R" repeatedly; the out patient ratio and in patient ratio are 40%o and 38 %o respectively, participant that should stay in hospital but not the ratio is 30.79%o, 17.2%o can't live in the hospital due to poor finance, 5.3%o can't go to see the doctor because of poor economy. The risk factor (demand release) index is 1.35. And lastly the highest increased index is Laoshan, others are average about 5%.The management cost is comparatively high about 500,000RMB; most of the costs are made in the NRCMS promotion with average cost 300,000RMB.The health check fund, catastrophic disease fund and risk deposit fund are similar with its actual situation.Combined with income and cost with the benefits accepted by the participant, analyzed the utilization of fund, the balance between income and cost, cost composite and different cost distribution, all represent the principle of NRCMS catastrophic disease aid.3.About NRCMS participant cost Based on the rural people's annual income, ratio results of NRCMS participant cost compared withthe annual income are 0.46% ^ 0.43% ^ 0.56% ^ 0.61% ^ 0.72% > 0.76% ,Laoshan, Zhaoyuan, Qingzhou and Guangrao are high 5-10RMB than the actual personal cost, the other two are similar to its actual personal cost.4.Analysis of ability to pay (ATP) and willingness to pay (WTP) To define when the rural people's annual income is up to 1805RMB that the family have the ability to afford the model of expanded linear expenditure system (ELES) was used for statistical analysis. The willingness to pay (WTP) was affected by many factors not only personal features but also some rural community characteristics; it affects the net profit assessment from different way.The statistical results signified that ATP and WTP are not coincident. Participants who have ATP are reluctant to attend NRCMS, however participants who have not ATP are more willing to attend NRCMS.According to the investigation and analysis, we can draw following suggestions:l.The range of out patient compensation and ratio should be expanded. To do so, cost compensation should lower the compensation line and wide compensation ratio, the highest compensation line should not too high in order to guarantee more people to access more health service.2.About the management cost, this proposal suggests the interest be as management in order to solve the cost in some distance; the other way is to let the health provider afford the management cost.3.How to resolve the cost of NRCMS participant In order to do so, the proposal suggests that we improve the culture quality of rural people, promote correct opinion of health assurance, decrease non-health cost, transfer non-health expenditure to health investment, by this way, we can make the WTP to ATP, and improve their financing ability. Besides above mentioned, high better quality and service of the provider and good management of the administrator with reliable credibility to the rural people are also important to the NRCMS.4.1n the model catastrophic disease aid, the proposal think we should establish compulsory social medical assurance, focused on the basicmedical service and prevention, transfer the agent represented by the government to rural people's self-agent and self-management to solve too many questions in essence not from the surface and transit contradiction shift.