The New Rural Cooperative Medical Financing Mechanism Research Of Linqu

As a two thousand-year-long history in China and a large number of rural population agricultural country, how to effectively solve the problem of rural residents’medical science, is the key to solve the problem of agriculture, rural areas and farmers, is the key to build a new socialist countryside, is the key to the sustainable economic development and social stability in rural areas in China. From the reform and opening up to now, the party central committee and the state council has always attaches great importance to the problem of the new type of rural cooperative medical care, especially financing mechanisms. Pilot project has been launched in the country for the new financing mechanisms, also has made remarkable achievements, but there are still many problems, especially in reasonable fund-raising mechanism is not effective enough, needs to constantly explore in the new rural construction in the future practice and optimization.This article USES the practice research, empirical analysis, comparative analysis and other research methods, through in-depth investigation Linqu county development status of new type of rural cooperative medical care, research and explore Linqu county in the development of the new rural cooperative medical financing mechanisms, and explore the deep reasons, put forward to promote optimization of new rural cooperative medical financing mechanisms of the suggested countermeasures. Get the following main conclusions:(1) of the new rural cooperative medical care and defined the concept of financing mechanism, clear the concept of new farmers, the financing mechanism of system design. New type of rural cooperative medical care is by the national organization, guidance, support, individual farmers voluntarily, individual farmers and collective and fiscal financing, mainly to the poverty-stricken farmers medical help each other in all aid system. New type of rural cooperative medical care is to help each other in all aid system in China, as part of the operation, publicity and support by the national government department, mainly to the poverty-stricken population, personal accord, farmer and village collective and national multilateral financing, as a whole hierarchy in counties and cities. Compared with the previous cooperative medical, state of the new type of rural cooperative medical care in giving unprecedented support funding. Now in our country implements the state subsidies, the collective support and individual farmers pay cost of combining the financing mechanism. Individual pay cost, collective farmers support and state subsidies is main financing way of the new type of rural cooperative medical care. The demand for payment according to the annual disposable pay in ginseng. For state aid, the collective support and individual farmers pay cost of combining the financing mechanism, follow the "multilateral financing, voluntary participation", "insurance moderately, to accept the" principle, etc.(2) foreign rural medical security experience learning:one is the government of using tax financing guarantee directly; 2 it is through mandatory social medical insurance indirect way to raise funds; 3 it is to use the powers of the society and the government invest together to raise funds; Four is by the farmers pay and the national government financial subsidies to raise money. Experience in the development of foreign rural medical security for our country’s new rural cooperative medical financing mechanisms and perfect.(3) by analyzing Linqu county of new rural cooperative medical service, service rate, raise standards, raise the main structure, raise funds management, and other indicators, found Linqu current new farming in each link of the whole operation flow, normal running well, Linqu county of new rural cooperative medical career development, and achieved good economic and social effect. Local government adhere to the scientific outlook on development as guidance, the government leading, vice-governor of health, department coordination, the masses to participate in, to a solid and effective promotion, steadily promote the development of new farming and achieved obvious results, get the universal social from all walks of life. From 2004-2014 data analysis:a new farming or circuit number increases year by year, ginseng to constantly improve and close to full coverage; The second is the development trend of new farmers and raise standard specific indicators are increased year by year, including the total annual per capita financing, lines of individual pay cost, collective farmers pay cost quota, the government fiscal subsidies, etc; Three is the new farmers and government financing subject, the collective and the individual share of corresponding changes from year to year, the government is in the dominant position in the new farming and support; Four new farming is equal to all levels of government subsidies, the central, provincial and municipal, county has been different proportion, the central fiscal subsidies for than most; Five is the total amount of funds increased year by year, the fund balance not showed obvious trend, fund utilization rate at high levels.(4) Linqu county new rural cooperative medical financing mechanisms of realistic contradictions:one is the social insurance mandatory and voluntary principle contradictions; The second is the contradiction between farmers’income level is different and the same payment standard; Three is the contradiction of financing structure stability and collective organization restructuring; Four is the financing cost and the contradiction between individual farmers financing way of collecting. More realistic contradictions directly or indirectly affect the development of new farming and restrict new farming in the innovation of the financing mechanisms.(5) Linqu county new rural cooperative medical financing mechanisms of the question:is a new type of rural cooperative medical fund raising channels of a single, low level of government spending. The second is evaluated integrated, ginseng rate disequilibrium between farmers voluntary service consciousness is not high; Three is the health level of the township medical institutions is difficult to meet the demand of farmers; Four is the new type of rural cooperative medical care fund use the lack of supervision and management system; Five is a new type of rural cooperative medical savings, large amount of fund of reimbursement ratio is too low; Six is the disease prevention and health care consciousness is not strong, weak consciousness of the masses kinder garden.(6) perfect the Linqu county new rural cooperative medical financing mechanisms need to be a two-step, the first step to optimize the key link in the process of new type of rural cooperative medical care, shall take the following measures:one is the need to diversify financing channel; it is to raise standards need scientific; Three is financing level need appropriate; Four is need efficient financing mode; it is financing need monitoring effectiveness; The second step, corresponding measures for the implementation of financing mechanism innovation of one must strengthen the government to provide public product functions; Second, we must lead to reshape the subject status of the farmers ginseng; Third, we need to strengthen the cooperative medical fund to pay compensation; Fourth, we need to optimize the quality of medical services.