Research Of New Rural Cooperative Medical Operation Guarantee Mechanism In Changchun

Since the reform and opening up, the implementation of the household contractresponsibility system, the collapse of the collective economy, the collective economyof rural cooperative medical soil gradually die out,"difficult and expensive " problemhas plagued farmers, poverty caused by serious illness back into poverty has become aserious problem faced by farmers, affecting the development of the rural society andsocial stability in rural areas, and with a significant improvement of health conditionsin recent years, gradually covering the entire rural cooperative medical care in ruralfacilities, the new rural cooperative promotion of health in the process is relativelysmooth, but also made certain achievements, participation rate and other factors in anorderly manner to improve, more and more farmers to participate in this system,farmers have been largely medical problems improvement.Changchun City, the new rural cooperative medical system protectionmechanism in the exploration forward, providing institutional platform for theeffective use of government funds for rural health and economic burden on theparticipation of farmers in the medical treatment has been greatly reduced, attendancerate and hospitalization rate has been increased, to a lot of doctor farmers provide aconvenient and affordable. However, to improve the health of farmers in the newhealth care, and in the promotion did not fully comply with the wishes of farmers’participation, and does not reflect the level of protection of the new rural cooperativemedical real situation. Therefore, the study of the new rural cooperative medicalsystem in the security mechanisms become the new rural cooperative medicalresearch-oriented, which is also better to grasp the degree of flexibility to lay thefoundation for the promotion of the new rural cooperative medical care. Since thenew rural cooperative medical care system at this stage is not yet perfect, as aprimary health care system in rural areas, in the design of the system body more, andcovering the protection is more complex, related to the health and stability of ruralresidents in rural society, its run effect is NCMS building, the level of developmentof the most important and most comprehensive measure. From the nature of the analysis, the voluntary participation of farmers, individuals pay part of the cost ofinsured new rural cooperative medical care system both have mutual cooperation inthe economic nature of the health insurance system, as well as governmentalorganizations, in turn, guide the charity has a strong social insurance managementsystem benefits. In this study, the current situation in Changchun City, the new ruralcooperative medical care to start, to find resources for rural and agriculturalproduction capacity and is closely related to the protection mechanism, to find outtheir problems in running the process, and put forward specific measures to improvethe NCMS have to provide some theoretical support.The first chapter, Introduction. Mainly describes the background andsignificance of the topic, purpose, summarize current research in related areas of thenew rural cooperative medical system, a clear line of research and technology in thisarticleThe second chapter, review relevant research and theories. From concept to define,combining theory perspective on the new rural cooperative medical system to sort out,the concept of rural cooperative medical care are classified with other concepts, thendiscusses the implementation of the new rural medical security studied the mechanismof cooperation from the public service equalization theory market failure theory, thetheory of public goods theory and information economics started to study the newrural cooperative medical safeguards.The third chapter, the rural cooperative medical experience abroad and the newrural inspiration. The new rural cooperative medical experience domestic rural areas,including the government to play a leading role, commissioned by commercialinsurance companies involved in the management, innovative methods of work, andmobilize their enthusiasm and participation of the third sector, to improve the level ofrural health care. Experience the new rural cooperative medical care in rural areasabroad including free medical care model, the pure market model and mixed-modebinary state and the market, draw the appropriate development model based onrevelation.The fourth chapter,analyzes the status quo to run security mechanismsChangchun new rural cooperative medical care. From the new rural cooperativemedical farmer participation conditions and the operation of the current situation toanalyze its running status quo, specifically from the reimbursement, the existing ways and means of compensation financing, funding and use of funds forparticipation conducted a detailed analysis, based on status of participation, draw thetownship medical institutions weak infrastructure. Township medical personnelshortage and poor health status of the service level.Chapter V, the new rural cooperative medical care Changchun SWOT analysis,from the strengths, weaknesses, opportunities and threats to the overall outstandingfour angles existing problem, the new rural cooperative medical problems from thefour dimensions of the full show.Chapter VI, made suggestions for the new rural cooperative medical condition.Improve farmers’ active participation, requiring the government to improve theconfidence of farmers, policy, maintaining the stability of policy formulationreasonable compensation range. Government funding and strengthening the regulatorycapacity, improve funding mechanisms, transparent use of funds, strengthen thegovernment’s regulatory functions, the ability to play a government propaganda,raise awareness of farmer participation. The strengthening of local medicalinstitutions on the specific requirements of hardware and software facilities improvereform and construction of township hospitals, village clinics integration, to achieveits management and functional innovation, reform of health personnel flowmechanism to improve the quality of basic health personnel. The perfect place newrural cooperative medical policy, strengthen education and training of medicalpersonnel, improve medical ethics, medical technology, strengthening of institutionsand agencies designated medical supervision and management and accelerateinformation construction, made suggestions on improving service efficiency.Chapter VII concludes.