Beijing Rural Residents In Health Care Costs Is The Current Situation And Impact Study Of The Factors

Backgroud:"The decision on further strengthening rural health work made by the Central Committee of the Communist Party of China and the State Council" and the Party's 16th National Congress Report clearly asserted the demand of the rural residents medical service, and pointed out that the rural health work is a key point of our national health works, related to protecting the rural productivity, prospering the rural economy, maintaining the rural society development and stability.Hence, the hygiene service system and medical health care system which can meet the requirements of new situationshould be built up and the rural medical situation should be improved.In the past few years, with the economy development and the consumption level increasing, the rural residents'medical consumption in Beijing has been increasing gradually whichhas been an important burden in economic for individual,group and nation.It is an urgent issue to prevent the medical consumption from rising fast.Objectives:The study aims to provide reference for hygiene department of Beijing to constitute the policies in health, by acquiring the real situation of Beijing rural family medical cost/participating of medicare security systems in 2008 and probing into the factors affecting Beijing rural family medical cost.Methods:The questionnaire was based on a number of journals in the past ten years on influencing factor of medical cost,together with medical and healthy policies in rural area of Beijing. The investigation,such as family medical cost in 2008, for rural residents were conducted in 13 districts of Beijing at random.Lots of information had been included in the questionnaire,for example, Number of Family Members, Family annual income, Family annual expenditures in health care, Outpatient Expenditure, Inpatient Expenditure, the situation of participating in new type of rural cooperative medical care system,situation of hospital and so on.Allinformation was from respondent's practical situation. The data was disposed and analyzed by the MICROSOFT OFFICE EXCEL2003 and SAS software.Results:Eight hundreds of questionnaires were dispatched in the investigation and 740 valid questionnaires were collected. The results showed that in the visited families,two-week prevalence is 183.3‰, two-week consultation rate is 112.2%o, annual medical expenditure per capita is RMB 798.01 yuan,the average Outpatient Expenditure per-time is RMB 370.21 yuan,the average Outpatient Expenditure per-year is RMB 331.71 yuan, the average Inpatient Expenditure per-time is RMB 7335.60 yuan,the average Inpatient Expenditure per-year is RMB 12005.57 yuan, the annual medical expenditure per capita is 12.60% of the annual per-capita income,and 81.89% of the visited persons have taken part in the New Rural Coopoerative Medical System.About 56.6% of the visited persons benefited a lot from the New Rural Coopoerative Medical System. It was noticed from chi square test that factors such as income, education level, medical insurance, long-term sickness and age etc. could affect the annual medical expenditure per capita.Conclusions:In recent years, the state of health of rural residents in Beijing has been improved gradually and the purchasing power for medical service has progressed greatly. There was a high percentage of medical expenditure per capita in the annual per-capita income which indicates that the medical expenditure still sit heavy on rural resident. The New Rural Cooperative Medical System is widely popular in the rural residents. It was advised for the medical and related departments that the compensation level of New Rural Cooperative Medical System should be enhanced so that more and more rural residents can benefit substantively from it. Moreover, the rural residents who needed medical service were inclined to choose higher level hospital, so some advice will be given that rational guide for rural residents to choose medical service is necessary,and the basic level Health Services should be strengthened. In the same time, we can publicize the medical and health policies widely in rural area and work hard for spreading of knowledge of health to avoid rising of medical expenditure.