Research On Participants’ Benefit Conditions And Its Determinants Under The New Rural Cooperative Medical System In Fuzhou

Objective(1)Analyze the overall benefit of Fuzhou rural participants from 2011 to 2015;(2)Figure out the Fuzhou rural inpatients’ families benefit status through empirical study,compare the change of families’ Financial Risk Of Disease,Poverty and Catastrophic Health Expenditure caused by Out-Of-Pocket before and after compensation of NRCMS;(3)To explore the key factors influencing the Fuzhou farmers benefit;(4)Put forward corresponding countermeasures and suggestions to improve the Fuzhou participants’ benefits.Methods In this study,based on the NRCMS monitoring data from 2011 to 2015 offered by Fuzhou Health and Family Planning Commission,draw the relevant charts,analyze the Fuzhou rural participants’ overall benefit;Questionnaire survey combine with the relevant system monitoring data,apply Financial Risk Of Disease,poverty and Catastrophic Health Expenditure related series of indicators,analysis the vary of inpatients families’ Financial Risk Of Disease by NRCMS compensation,and then observe the families’ disease economic risk under the different levels of medical institutions and economic positions;Discuss the key factors determining the benefit of the insured farmers by using the Logistic regression model.Results(1)From 2011 to 2015,Fuzhou NRCMS participants’ total benefit increased from 9.04% to 59.83%,benefiting people’s number of times raised from 0.3 million to 2 million,and the annually per capita number of benefit times increased from 1.5 to 3.5;(2)About 16.71% of inpatient rural insured families at high and extreme Financial Risk Of Disease,the medical expenses beyond the family’s income;(3)After the NRCMS compensation,the inpatient NRCMS participants’ families impoverishment rate decreased about 10%,similarly,the incidence of Catastrophic Health Expenditure were significantly fell nearly 20% compared with no compensation;(4)Binary Logistic regression analysis concluded that:the larger size of the family population and economic level of inpatients’ families are protective factors to cause families were caught in Poverty or Catastrophic Health Expenditure,on the contrary,higher inpatient age,family hospitalization time,level of medical institutions,number of elderly people aged 60 years and over in the family,heavier family medical burden,or debit and credit are hazards of Poverty and Catastrophic Health Expenditure.Conclusions(1)Fuzhou NRCMS participants’ benefited range continuously expanding,while the benefit level needs to be improved;(2)The inpatient NRCMS insured families have heavier economic burden,in addition,medical expenses have deepened the Poverty degree and depth;(3)The NRCMS alleviated the breadth and depth of inpatient NRCMS families’ Poverty and Catastrophic Health Expenditure to some extent;(4)Multiple factors interaction lead to participant family occur Poverty and Catastrophic Health Expenditure,of which the levels of economic and medical institution effects are most notably.It is suggested that we should attach importance to the poor,strengthen the construction of basic health service system,complete the hierarchical diagnosis and treatment service system,guide rural residents’ healthcare service choice reasonably to prevent the rapid rise of medical expenses,and improve the level of medical insurance compensation for rural residents in the meanwhile.