Empirical Studies Of The New Rural Cooperative Medical Compensation Mechanism

Since entering the 21st century, with the deepening of reform and opening up, China's lack of co-ordination of urban and rural development have become increasingly conspicuous. Among them, in the. medical security, the vast majority of the rural population has no health insurance. Therefore, "poor for illness, illness returning to poor" is a more serious phenomenon in rural areas. To resolve the issue of rural health cear has again been put on the agenda.The CPC central Committee and State Council in 2002 at"further strengthen health work in rural areas"made it clear that by 2010, our country will set up the basic rural health service system and rural cooperative health care system throughout the country to adapt to the socialist market economie structure and rural economic development level. The new-type rural cooperative medical care is amajor policy decision and initiative of the CPC Central Conunittee. Which aimed at achieving the goal of comprehensively building a well-off society, the coordination of urban and rural and socio-economic development, and effeetively solve the "three rural"issue, improve the health of farmers.Since 2003 XiangFan city has been as a pilot area of the new-type rural coperative medical care, to the end of 2009, There are 3.55 million people attended the city's new-type rural cooperative medical care, participation rate of 98.45%, combined to achieve the provincial participation rate of 90% of the objectives and requirements Compared with 5.34 in 2008 to improve the percentage participation rate than the provincial average of 94.4%, exceeding the 4.06 percent,ranking the province first. Basic ease the farmers, "poverty caused by, returning to poverty due to illness"problem. But in actuality, there are still many practical issues to be resolved, one of the most able to influence its development is determined by the pilot in the urban and rural hospital costs from the pay line, cap line, and the compensation ratio, The compensation package is reasonable or not will be determined by a direct impact on the beneficiaries of the urban and rural surface and benefit rates, and benefit the farmers most directly reflects whether or not, it is also directly related to the sustainability and healthy development of the system.Selected three of Xiangfan City,120 villages as a sample to do questionnaire and interview with the new-type rural cooperative medical care of Xiangfan City. A cluster random sample of home visits, questionnaires were distributed and the new rural cooperative one by one interviews with relevant personnel. Treatment of research data, combined with interviews conducted on the participation of farmers satisfaction survey, the conclusion is:the new rural cooperative farmers compensation mechanism for the implementation results of satisfaction is low, the proportion of compensation and procedures, there are many dissatisfied. Finally, combined with the the problems which in the process of the new-type rural cooperative medical implementing, puts forward some policy suggestions.