| Objective: The paper aims to analyze problems existing in cooperative medical caresystem in new farming and stockbreeding areas of Bayingol Mongolian AutonomousPrefecture through survey of the coverage, financing, subsidies and management andsupervision of the prefecture; meanwhile, the paper researches the sample farmers andstockbreeders from the perspective of farmers and stockbreeders covered by the system,and learn their knowledge of the new rural cooperative medical care system and theircomments on the current new cooperative medical care system; finally it analyzesproblems existing in the new farming and stockbreeding areas cooperative medical caresystem of Bayingol Mongolian Autonomous Prefecture from two different perspectives soas to provide basis for the healthy, stable and sustainable development of the new farmingand stockbreeding areas cooperative medical care system of Xinjiang Bayingol MongolianAutonomous Prefecture.Method: The research method of field epidemic is adopted andrelated documents and data of the new cooperative medical care system of BayingolMongolian Autonomous Prefecture are collected; at the same time, according to theeconomic development of eight counties and one city of Bayingol Mongolian AutonomousPrefecture, respectively choose farmers and stockbreeders in Korla, Bohu County andHeshuo County for survey; use Access to establish a database and sort through related dataand questionnaires of the new farming and stockbreeding areas cooperative medical caresystem of Bayingol Mongolian Autonomous Prefecture; and use SPSS16.0analysissoftware to analyze the gathered statistics. Result: It can be seen from the survey that allfarming and stockbreeding areas in eight counties and one city of the prefecture have beencovered by the new farming and stockbreeding areas cooperative medical care system of Bayingol Mongolian Autonomous Prefecture. The coverage rate of the entire prefecture is97.17%. Currently per capita per year financing standard of famers and stockbreeders inBayingol Mongolian Autonomous Prefecture is more than RMB150. In2010the totalsum that should be financed was RMB58,302,200and the actual sum was RMB47,554,700. The number of regular hospitalized people was34,400person time. In2010,the quota of new farming and stockbreeding areas cooperative medical care systempersonnel was88in Xinjiang Bayingol Mongolian Autonomous Prefecture but the actualnumber of staff was106. In2010, the total funds of Xinjiang Bayingol MongolianAutonomous Prefecture for new farming and stockbreeding areas cooperative medical caresystem was RMB3,038,900without any other income source. The total expenditure wasRMB2,837,100. Concerning the sex, education and health of farmers and stockbreeders insample counties and city, the P value is more than0.05so there is no statistic differenceand they are not the main factors that influence the coverage. The P value is less than0.05in terms of age, annual income of family, comment on government publicity, medical levelof town hospitals and service of town hospitals, and distance from town hospitals so thereis distinct statistics difference and they are the main factors that affect the coverage.Finally use Logistic regression analysis to analyze the chosen variables and factors thatinfluence coverage and the degree of influence and find that “comments on the medicallevel of town hospitals” is meaningless and not a factor that can influence the coverage soit is ruled out. Conclusion: Through the analysis of basic coverage and effects of the newcooperative medical care system of Bayingol Mongolian Autonomous Prefecture, it isdiscovered that the coverage of farmers and stockbreeders is good but it is lack of stableand long-term financing mechanism; the use rate of funds is too low and the subsidypattern is to be improved; shortage of management resources, management notstandardized and insufficient supervision; service ability at the basic level is to bestrengthened. |
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