The Economic Research On The New Rural Cooperative Medical System In China

In China, The new-type rural cooperative medical system rising in the year of 2002 is medical mutual redress scheme for rural people, which is organized, guided and supported by the government, participated voluntarily by rural residents, funded by multiple parties including the individual, the collective and the government, focused on compensating catastrophic diseases. In comparison with the traditional Chinese rural cooperative medical system, the new one has a fundamentally nature difference that the new rural cooperative medical system is organized, guided and supported by the government, and farmers could improve their own health needs and enjoy the health services by taking part in this co-operation fraternal order organization. In the context of new-type rural cooperative medical system, the background introduction of the policy, structure design, implementation and effectiveness of institution so on are brand new in the cross field of rural development economics and health economics, new exploration in rural areas of public economics and the development of economic theory. it is of great theoretical significance and practice value to carry out the study of new-type rural cooperative medical system economics, which is vital to solve the basic medical and practical difficulties due to health problems, expediting the settlement of the "three-rural" issue and building a harmonious society and push forward the building of new socialist rural areas.In this paper, the historical background and implementation of a new-type rural cooperative medical system were investigated as well as rural medical health status, implementation effectiveness of the new system of agricultural system, difficulties arising from implementation, the analysis of the economic reasons, the improvement of efficiency of the system and so on, via in-depth study of rural society, description of rural households participation in agricultural co-operation, assessing the status of agricultural co-operation, qualitatively and quantitatively analyzing the efficiency of agricultural co-operation system and its attributions, improving the activities of farmers and basic approach of the new system, making some suggestions. This article is divided into eight chapters: the first chapter, as introduction, includes the rise of problem, the significance of the research, the research statue and its commentary, main content, basic framework, basic idea and main methods. The second chapter includes the economic theory of rural development, rural public goods theory, theory of social security, health economics theory, information theory in economics and other perspectives, explaining the new rural cooperative medical system on the basis of the theory. The main content of the third chapter include the rural cooperative medical system for the international comparison model, which carries out a completely comparative study. emphasizing on free health care model, the social model of health insurance, medical insurance business model, community health care model, the features of health care savings of several security and the country running Mechanism ,The fourth chapter gives an analysis of rural cooperative medical system development and system evolution. Chapter V is an analysis of new-type rural cooperative medical system, it gives a theoretical analysis on system design, implementation of the policy, effect of rural economic and social development environmental, system measures, running of system, summarizing the problems: the risk of moral hazard, the monopoly balance under moral hazard, medical insurance payment and the total health care costs. Chapter VI is an empirical analysis of new-type rural cooperative medical system. Taking Hunan For example, by using Logistic model, PSM (tendency to score matching) analysis method, "Satisfaction" analysis model and the new agricultural co-operation and other measures analysis of the economic analysis model, the new agricultural co-operation system, the level of rural medical and health resources use, health care cost of farmers, and other expenses were empirically analyzed. Chapter VII proposed goal configuration of Chinese rural cooperative medical system, model selection, path design and policy recommendations and so on. Chapter VIII summed up the basic conclusions of the study, a Chinese rural cooperative medical care system innovation was prospected.In this paper, the background of new agricultural co-operation policy, structure of the system, policy implementation and effectiveness of the implementation were theoretically and empirically studied, and rural medical and health security system of international comparisons with the history of our country were observed, series of important views and conclusions were drawn. The main conclusions in the pattern of international comparative study include that the developing countries government should bear primary responsibility of health care, poor and low-income health care should be paid great attention to, the government and the market commonly provide health insurance services and the related legal system should be more perfect. the main conclusions of rural cooperative medical system analysis include that the new agricultural co-operation medical system have clear complementary, the great success of new agricultural is the transformation of "the supply of co-operation" to "demand for cooperation ". At the same time, a series of new agricultural system theory and empirical study of the important conclusions were drawn. To further improve the new agricultural co-operation medical system, this article summarizes four basic experiences of new rural cooperative medical system reform and a new goal configuration for rural cooperative medical system was proposed. The path of the new innovation of system was designed, the relevant counter measures and suggestions were made.In this paper, on the basis of proceeding research results, in close connection with China's national conditions, China's rural cooperative medical care system was studied, in the following three areas, some research innovation have been made. First, the use of Logistic model, PSM analysis and other methods of measurement analysis was adopted, the efficiency of new system of agricultural co-operation and their effects factors were investigated. Second, carrying out a new research of agricultural co-operation system, broadening the "solution of problem" vision. this paper jumps out of the new system of agricultural bound, in full recognition of four basic experience of new agricultural co-operation, a new "4413" mode was established, and the "three expansion, two Voluntary, five co-ordinate, one statistic "path was designed, and a series of policy recommendations, for instance, "the threshold of the Senate together"," share capital into the field ", " rural health vouchers ", " social security tax of farmers "and" a further increase in rural health care co-ordinate security level "were proposed originality; Third, this paper, "the common research between university and government" method is of the innovative value. During the research, the author and the local government carry out cooperative research project, exchanging the information and experience of project research and new-type agricultural co-operation practice.