The Research On Fee Controlling Of New Rural Cooperative Medical System In Shaanxi Province

What the fee controlling is a necessary procedure of New Rural Cooperative Medical System. Therefore, in order to explain status, responsibilities and obligations on three different performer of fee controlling for cooperative medical which of supplier or demander of service and management, where this article from the using of cooperative medical fund, then adopting comparing-analysis, historical -analysis, the standard and the real diagnosis research; further, using sociology, economics, statistics and medical insurance theory to make a research.There are two main aspects of fee controlling should be researched which includes unreasonable medical charges and unreasonable increases of medical charges. Because the farmer who joined cooperative medical system should via the ordered medical organization to get compensation from cooperative medical fund, further more, encourage mechanism is lack in fee controlling of pointed medical organization, therefore it is easier inducing famers to take exceeding consumptions of their medical services by doctor. Additionally, the expended medical charges what happened on farmers who joined cooperative medical system can get reimbursement, what probably cause the ethical-risk, after then the reason should bring increasing medical fee. On the other side, leak-risk also exists in management of cooperative medical organization, what cause the higher cost in management. For the reason above, this article refers that it is very important to enhance drumbeating and education in cooperative medical system for farmers so that preventing farmers who using medical service to make unreasonable behaviors, then improving strengthen on fee controlling and diathesis of doctors. In addition, to improve the controlling of medical organization and complete the supervision system of fee controlling, then to curry out non-paper work completely in operating organization of cooperative medical what can improve effective and decrease cost of management. To via the behavior supervision of three aspects for New Rural Cooperative Medical System which in order to reduce the charges of medical and promote effectively and reasonably using of cooperative medical fund, so that makes a resolution to help famer hospitalize problem.