| In China, an agricultural country, peasantry’s life is closely linked with national development. And peasantry’s life focuses on peasantry’s health problems. Peasantry’s health relates to the people’s livelihood and engineering construction in the whole country, and relates to the development of national economy and social system consummation.Rural cooperative medical system is a kind of aid health care system, which is based on collective ownership and mutual aid system. The new rural cooperative medical system is organized by government, raised capital from farmers, social organization and government financial. Mainly provide serious illness subsidies for farmers. The party central committee and the state council made this policy with the purpose of enhancing the ability of resisting serious illness risk, and then peasantry’s health is protected and rural economic development is promoted.At present domestic for new farming and research quite rich, among them for new farming and policy, financing, compensation, satisfaction, sustainability, and other aspects of the research, has a piece of schools of thought contend scene, for each of these aspects, specialists and scholars make the analysis comprehensively.Even if the policy is favorable to farmers, the new rural cooperative medical care system implement less than10years, there are still many problems should be improved. So it is especially important to find a representative area to do a research. Xundian is a country in Yunnan province. There are many natural minorities in this country, economy in this country is not very good, and farmers are very poverty. So the writer chooses this area to do a special research. The article used several methods to do this research, including questionnaire and interviews. Through some index to evaluate the policy implementation in this country. Main evaluation index includes participation rate, fund situation, compensation situation, reimbursement program and management mechanism. According to the actual situation and the investigation needs, deeply combined with questionnaire and interview method, it makes the results practical.The author discovered that this area’s problem mainly focus on the medical institutions, and the management of this policy, etc. The medical institutions do not compensation according to the standard. The medical establishment case files do not write standard and timely. Part of the hospital expenses are broken down to the clinic and charges is not reasonable. In addition, although farmer’s satisfaction for this policy seems high, there are also many points that they are not very satisfied. These points are as follows:Propaganda power is not enough, compensation proportion is not reasonable for every part of survey, the author brings intuitive chart and explains the statistical data, the reader may well see Xundian’s present situation and operation. In addition, it is involved in the questionnaire survey of each side, besides intuitive chart outside, the author cited typical cases, with the voice of the farmers themselves to explain the problem.According to the survey, this article gives some suggestions and opinions. The author believes that these problems are not only in Xundian, but also in new rural cooperative medical care system. So the last part of the article is the important part that needs to get attention.First of all, governments should put more emphasis on this policy to enhance its help to people. To do this, the government should establish multi-layer system. According to different income levels of farmers, build more levels to supplement the medical insurance. Only more perfect legal protection can make this policy more complete and effective.Secondly, in the fund management, the government should strengthen the supervision and administration of the fund, avoid the funds being applied, avoid the medical institutions shift to outpatient expenses. On the other hand, we must standardize the behavior of the medical institution, require hospital writing medical records timely and completely, the personnel should take audit seriously, regularly check accounts and medical records. Some times it need check aperiodic, when it meets the above-mentioned problems, the serious punishment can guarantee the operation of this policy safety.At last, the government, the experts and scholars should be actively cooperative to explore more perfect financing mechanism and compensation mechanism. It can also find a new path for giving people better service. The author believes that the country will satisfy the farmers needs, and resolve their problem timely, to improve the group’s medical system for farmers to ensure their health, and that is also the need of harmonious society. |