Prevalence Study On The New Rural Cooperative Medical System In Cixi City

Medicare is of great significance for every citizen and closely related to everyone’s health and Happiness. In order to change the situation ie. the majority of Chinese hardly have any form of basic medical security caused by historical reasons, our governments have established a new type of rural cooperative medical care system below as NRCMS. Practiced in some pilot areas since2003, NRCMS has spread in all over the country since2008and by the end of2010it has basically covered any rural areas all over the country. Thereas it has radically relieved farmers’ medical burden. Although it is effective some underlying problems and obstacles reveal themselves during implementation. More works needs to be done to revolving regulation of medical charge and supervision of dominated health care facilities.Objective:Discuss relative factors about difficult issues in the implementation of the NCMS---medical charge increase and supervision of the dominated health care facilities, by analyzing funds income and expenses since the implementation of the NCMS, hospitalization expenses and compensation of peasants participating in NRCMS and supervision outcomes of the dominated health care facilities; provide strategic suggestions for the regulation of health care facility service, reinforce supervision and command unreasonable medical charge increasement in NRCMS, combined with comprehensive analysis of causes of these issues applied with some economics theories, at the same time, benefited from international practical medicare experiences.Method:Analyze info about funds income and expenses, patients proportion of outpatient and in-hospital, medical expense compensation from all levels’health care facilities between January2004and December2012, applied with combinative methods of quantitative and qualitative research, demonstration and standard research. Assess the problems found in the examinations of dominated health care facilities in2012. Analyze the design of NRCMS, influence factors of medical charge increasement, difficult supervision of the dominated health care facilities, by referred the theory of common products and incentive compatibility and competition.Results:In the8years, the NCMS appear the situation of overspend and precipitation in the operation. As a whole, it is not enough safe. At the same time the outpatient service rate and hospitalization rate increase year by year, medical costs are showing a rising trend year by year, particularly with the growth of the hospitalization expenses. The NCMS fund is mainly used for hospitalization expenses. It occupy73.89%of the total fund compensation revenue. In the fund and the composition of the hospital patients in the different levels of medical institutions, inside the city and outside the city medical institutions accounted for more than70%. In2012the fund and the composition of the hospital patients of township medical institutions respectively fell to12.21%and8.13%. It is unreasonable demand and outflow phenomenon. In the case of Hospitalization compensation is rising year by year, ginseng to peasants’ hospitalization compensation income from hospitalization expenses are offset. The higher is the level of medical institutions, the higher is each time the average hospitalization expenses. The drug income is still as the main source of income of the health care facilities. In2012The drug fee inside the city medical institutions hospitalization expenses constitute accounted for42.37%. The health care facilities are irregularities in the process of providing medical services.Conclusions:1. The NRCMS has played a positive role in meeting the medical needs of the peasants and reducing the economic burden of disease;2. The difficulties in implementing the new rural cooperative medical system are excessive growth of the hospitalization expenses, the dominance of drug income and irregularities of providing medical services;3. The key link of the new rural cooperative medical system are the unreasonable growth of controlling medical expenses, the standard medical behaviors and supervision of the dominated health care facilities;4. The author tries to suggest the counter measures to improve the NCMS for ensure the sustainable development:strengthen the government responsibility, adjusting compensation plan scientifically. encouragement talent sinking, reforming fully the paid way; innovating supervision model, speeding up the legislation of the NCMS, improving the medical service pricing mechanism, integrating hygiene resources.