The Research Of New Rural Cooperative Medical Care Payment Choice

With the development of society and economy, people's living standards continue to improve, at the same time for health spending is increasing. But in a variety of reasons, in recent years China's medical expenses showed a tendency of excessive growth. Study on medical expense control in the past that, payment is not reasonable is an important cause of the rapid growth of medical expenditure. On the cost control for the reform of a wide range of purposes of payment. Our country is the same in the new rural cooperative medical system. With the Ministry of health to the payment of new rural cooperative medical system reform, many areas to carry out the pilot reform, most of the new rural cooperative medical system are seeking to reform the payment made after to prepayment system.At the same time, the implementation of Chinas medical insurance payment reform, reform of medical service and health care system at the same time. In fact, in the way of payment of medical insurance reform process, the lack of triage system perfect, unable to form an effective primary care referral system also hindered the pace of reform of the medical insurance payment, become an important reason for the unreasonable medical expenses rise.On the reform of the way of our current Medicare payment, are considered in a single medical service level, how the level of medical expenses as a measure of the effectiveness of the reform of the scale, ignoring the payment in the promotion of the role of the medical service system. But in our country the existing research on the reform of the appointment system of the medical behavior, mainly through the adjustment of compensation for the insured person to guide the way, ignoring the payment in the control of medical service supplier is on the way for the triage system function.The main contents of this paper are as follows: First part is about the introduction of the research background, research significance, research methods and ideas, the domestic and foreign research situation for payment reform analysis. The second chapter introduces the basic concepts used in the paper and the theoretical basis of this study. The third chapter is using the research methods and basic concepts that mentioned, to analysis China's implementation of the new cooperative medical scheme payment. The fourth chapter continues to apply the above theories and methods of medical institutions of different payment methods for new cooperative medical scheme three rural health service system under the analysis of the behavior, the behavior pattern of different medical institutions under different payment methods. The fifth chapter of Zhouning County of Fujian province new cooperative medical scheme payment system implementation, through the analysis, the implementation effect of the evaluation system, to seek the support of the theory in practice, and find out the deficiencies in the system combined with the actual, put forward the improvement proposal. In the fifth chapter, theoretical research and practice based on the above analysis, on China's further deepening new cooperative medical scheme payment reform, promote the proposed triage system in rural areas.