| AimThere are almost 13 hundred billion poor people in the world now, sharing approximately 1/4 of the whole population. Aiding poor people is the need of social stabilization and economic development. Many countries had adopted various policies to aid poor people. China also had taken measures to aid poor people and had gained highly effect that the poor population had declined from 250,000,000 to 30,000,000. However, it is more difficult than ever stage to make these people get rid of poverty, because over 80% of the poor people lived in rural, impoverished by illness shared 33%, quite a few areas over 60%. 41% of the illnesses failed to see a doctor in the poor rural, 51% of the illness advised to be in hospital failed to use inpatient service. Medical aid must be implemented so that the poor people can get rid of poverty. But 96.7% of the people had no health care in China rural. How to implement medical aid for the poor has become a matter that needs to be settled urgently.Medical Financial Assistant (MFA) was one concern of the eighth health service project (h8sp) , supported by China government, World Bank (WB) and the UK's department for international development. MFA provided health service charged partially for the rural poorest using the loan from WB. Through the implementation of the project, probe a sustainable system, then implement MFA extensively. From 1998 to 2000, MFA covered 31.778 million rural people in 543 villages and towns, 71 counties, and 656,625 people from 184,130 families had benefited. The subject was to apprehensively evaluate the feasibility and effectiveness of MFA, explore MFA development policy in the future, and offer scientific basis for the normalization andsystemization of MFA. Materials and methods1.Objects: The objects were administrative system and running mechanism of MFA, the aided families and the poor non-aided families.2.Variables: Independent variables were source, sum and proportion of the finance, management and running of the project, health service index of the aided and poor non-aided families. Dependent variables were feasibility and effectiveness of MFA.3.Methods: According to the theory of Donabedian, the administrative father of America medical system, appropriate indexes were used to evaluate the feasibility and effectiveness of MFA from three aspects: framework, process and outcome. (1) Systematic method was used to assessed the framework of MFA. (2) Responsiveness of health system service put forward by WHO in 2000 was used to evaluate the provider of MFA. Fuzzy synthetic method was the assessment method. (3) Use/need ratio and the coefficient of share economic risk of illness were used to assess the effectiveness of MFA.4.Statistics: Used soft ware of Foxpro 6.0 and SAS 6.12. Results1.The proportion of the aged, illiterate and handicapped and the incidence rate of chronic disease in the poorest were higher than the common. 15% of the families were poor in the villages covered by MFA, impoverished by illness shared 86.7%. Comparing with the non-aided, the aged over 65 and the handicapped shared more and the rate of incidence of chronic was lower in the aided.2.From 1998 to 2000, MFA covered 19813 people in 176 villages, 8 counties and towns, shared 1.42% of the rural people. Comparing with the budget intended to aid 8630 people using ?0268, 52 inpatients were aided using ?9947.8, and 14 gravida and puerpera were aided using ï¿¥261.3. (1) The funds of MFA was raised by all levels governments. (2) 94.4% of the aid-cards were kept well. 84.1% of the families felt contented with thereimbursement rate. 81.3% of the families considered that MFA was helpful.4. (1) 42.97% of the budget was raised and 33.58% of the raised was used. (2) 55.0% of the families considered that the village council was more impartial in the course, 26.2% considered most impartial and 1.8% considered partial. (3) The responsiveness of the health system was assessed with fuzzy synthetic method. The results showed that the village and township he...
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