The Study Of Minimum Living Protection Crowd Medical Assistance Current Conditions In Urumqi City

Objective: In our country, because of pay ability limited, Minimum living protection crowd will be caused housebound to poor because of they can not afford a disease or they suffer from the family medical expense of heavy disease, have become a outstanding social problem currently, This is not fit with our country construct harmonious society and implement the views of science development together. Therefore, this topic draws up to take the city minimum living protection crowd in Urumqi City as a research object and analysis the experience of the works of the medical assistance in recent years, carry on a research to the medical assistance system from the angles of methods and theories research and summarize the implementation progress of the domestic and international poor population medical assistance system, in order to perfect and develop our country minimum living protection crowd medical assistance system and provide a policy support and theories reference. Methods: According to the data of document, scene investgation and interview, make full use of the methods of document investigation, deeply interview, descriptive statistics, Lorenz curve and Gini coefficient evaluation, Data Envelopment Analysis(DEA)and other statistics to evalue the city minimum living protection crowd medical assistance system index, the present condition and the fairness and efficiency of medical assistance resources allocation. Results: (1) Since 2006, the medical assistance in Urumqi City got a quick development and make a more perfect Administration procedure of medical assistance. Assistance person-time number has already accumulated to attain 68888 and assistance amount of money has already accumulated to attain 10,484,800 yuan. All minimum living protection crowd has covered the medical assistance in city. (2) Through investigation we discovered that; main out-patient service work(such as 2008 is 16487 people)of the minimum living protection crowd medical assistance were undertook by the community health service center in Urumqi. The hospitalized service were undertook by the fixed-point hospital(such as 2008 is 1014 people). The file rate of the city minimum living protection crowd medical assistance was shortage. (3) With the variety of the Disease Composes about the minimum living protection crowd in Urumqi, the executive drugs catalogue of the minimum living protection crowd medical assistance always narrow, there are some shortage about the common disease and universal disease of the minimum living protection crowd, we should renew and improve the drugs catalogue of medical assistance. (4) The fairness of resources allocation that fixed-point minimum living protection crowd medical organization in Urumqi is all right. To calculate the Gini coefficient of the bed is 0.3406, the Gini coefficient of the doctor's is 0.3526, in 0.3～0.4 normal levels. But the efficiency of assistance resources allocation is lower, according to the measuring of DEA, the efficiency values of the six areas is 0.089～0.803. Conclusions: Enlarging devotion of the government and enhancing working of the government ability, increasing the reduction ratio of medical assistance, enhancing the public-spirited natural of public hospital; Establishing the new medicine catalogue of the minimum living protection crowd according to the present situation, Excellent the fixed-point medical organization of medical assistance, increasing the organization amount and building up the allied motive system of the minimum living protection crowd medical assistance organization, rising medical treatment level and medical treatment efficiency, satisfied the medical need of the minimum living protection crowd; Strongly strengthen the healthy file establishment and healthily promotion work; enhancing a policy supportion, enlarging the funds devotion, Encouraging the community service organization to carry out the medical assistance work, Activating the medical and health resources; insisting the public-spirited property that the community service organization serves the minimum living protection crowd in the city, Enhancing the talented person's equipment and development of the fixed-point medical assistance organization and promoting the publicizee work of the minimum living protection crowd medical assistance.