Investigating And Assessing The Cost-Control Policy Of New Rural Cooperative Medical Care In Henan Province

Henan province is the domestic agricultural province, agricultural population accounts for more than70%,98.27%of people have been in the New Rural Cooperative Medical Care since2003. This medical care form provides help for hundreds of thousand people in security,which relieve the pressure caused by medical high-cost and the encourage the farmers to see the doctor in time. However, at the same time, the proper use of the New Rural Cooperative Medical Care fund highlights, compensation amount per capita is higher and higher, The overdraft risk of the New Rural Cooperative Medical Care fund is on the rise.Two comprehensive public hospital in Henan is chosen as this research object, through contrast the various business parameters before and after the policy, to illustrate the effectiveness and problems of control fee policy. According to the analysis on the medical data of the hospital during2011-2013, the result satisfied at the beginning, but then turned out to be weak, expense for medicine proportion decreasing cause the examination, treatment and other benefits promote.The reason is complex, the first of all is due to the contradiction of public hospital system, lead to a public hospital public become more and more profit-driven; Forth, this policy is a revolution,far away different to the tradition, so, there is absolutely a period for adaptation, the medical institutions should learn to seek more reasonable behavior to deal with; second, in the process of policy implementation, the frequency of supervise is not enough, can’t timely to correct or punish unreasonable behavior of the medical institutions, third, Finally, because of the medical resources are scarce in Henan and uneven distribution of medical resources, so the good medical institution have no clue about how to balance the request from large patients and policy limits. Although the policy encourage ginseng the patients seek for medical treatment in the local counties, but it is no better than improving the medical environment and treatment level of grassroots health organization.According to the problem above following several points recommends:first, due to balancing the patients’ economic situation and the development medical industry, taking the patients’ treatment effect for primary consider, grading the existing medical institutions in admission and the basis of reimbursement, Implement treatment scheme classification reimbursement, avoid the patients cannot get full treatment of situation due to the limitation of medication and treatment directory, makes the patients can choose to pursue the best effect in their own capacity, also the hospital can carry out for the treatment programme on their grade, not due to total budget of limit and hurt medical technology development of enthusiasm, second,to strongly development grass-roots health medical institutions, improve grass-roots medical institutions of overall level, strengthened on new agricultural collection patients daily health concept of publicity, advocates bud, for grass-roots health institutions assigned routine health task, making the visits number reduced and the realization of triage come true.