| New rural cooperative medical care system is an important component of rural social security systems. Its establishment and development have great significance in improving their health and the level of farmers who are against the risk of major diseases, and in promoting socio-economic development in rural areas. In recent years, due to the weak supply of less developed areas in western rural medical and health service and the lack of medical insurance system, the situation that"poverty with the result that disease, return to poverty with result of the disease"is getting serious, because of illness, many poor farmers don't receive appropriate medical care and get into a cycle of poverty. As the most basic medical service to the farmers, new rural cooperative medical care is seen as the primary way to break the vicious circle of poverty, and becomes an important way to get rid of long-term vicious circle of poverty in less developed areas of western rural.Since stating a test site of the new rural cooperative medical care in 2005, with the continued efforts and exploration, the ethnic areas of Gansu have achieved some success and played a positive role in alleviating sickness resulting in poor or returning to poor of peasants and herdsmen. But at the same time, there are still some problems affecting the participation and satisfaction of peasants and herdsmen. On the basis of sorting out the basic theory of new rural cooperative medical care, this paper uses the analytic hierarchy process to build evaluation index system of new rural cooperative medical care in ethnic areas of Gansu, and identifies the main problems which are found in the course of its operation by quantitative analysis, and then supplies corresponding strategies for the ethnic areas which have different levels of economic development of Gansu through the SWOT analysis, and finally puts forward to a sound response, with a view to provide references for other similar areas of the development of new rural cooperative medical care. The paper is divided into five chapters:Chapter one, introduction, introducing the research background and significance of new rural cooperative medical care, analyzing the research situation in China and around the world, and obtaining the implications that foreign insurance system in rural areas for China's rural medical security system, defining the research objectives, research methodology and technical route, and explaining the possible innovations and weaknesses.Chapter two, they are the basic theories of new rural cooperative medical care. This section includes the course of development, the basic content, principles and theories of new rural cooperative medical care, these lay a firm theoretical foundation for future research.Chapter three, using analytic hierarchy process (AHP) to build evaluation index system of new rural cooperative medical care in ethnic areas of Gansu and identifying the main problems which are found in the course of its operation by quantitative analysis. Analysis shows that lack of government financial investment, fund-raising difficulties, low rate of fund utilization; low rate of fund compensation, low level of protection, poor will of peasants and herdsmen; few designated medical institutions, lack of medical equipment, low levels of health personnel; complicated reimbursement procedures, low rate of reimbursement in most of ethnic areas and other factors affect long-term development of new rural cooperative medical care.Chapter four, it uses SWOT analysis method to study strengths, weaknesses, opportunities, threats of new rural cooperative medical care in ethnic areas of Gansu, rely on the internal strengths; use the external opportunities, overcome internal weaknesses; avoid external threats and provide corresponding strategies for the ethnic areas which have different levels of economic development in Gansu.Chapter five, they are measures that improve the new rural cooperative medical care of ethnic areas in Gansu. This part presents the countermeasures which can solute the current problems of new rural cooperative medical care of ethnic areas in Gansu that we should combine with reality of ethnic areas to broaden the fund-raising channels by adopting a variety of ways; construct a reasonable compensation mechanism to further enhance enthusiasm of peasants and herdsmen; upgrade medical equipment to make efforts to train the medical personnel of ethnic areas; formulate scientific reimbursement policies to encourage people to use Chinese medicine and ethnic medicine and so on. This system will have a long and sustainable development through using a set of solutions to improve new rural cooperative medical care. |
