Study on the Status of the New Rural Cooperative Medical System in Nanxian, Hunan
|School||Central South University|
|Keywords||New Rural Cooperative Medical System RSR synthetical evaluation|
Objective:To investigate the situation of New Rural Cooperative Medical System (NCMS) in Nanxian, Hunan, to evaluate the implementing effect of the county’s project, and to provide a scientific evidence for decision making of NCMS pilot study.Methods:According to research purposes, acquire database related with research from Nanxian NCMS management office, and transfer it into Excel. After that, process and verify the data. Verification includes checking of data correctness and completeness and it was carried out under the SAS program and manual inspection.Computer inspection includes:computer database checking, Missing values checking, outliers checking, data calculation checking and important logical relationship checking.Manual inspection includes:According to the results, some suspicious data would be checked by manual or by consulting the relevant personnel.Adopting SPSS 13.0 statistical software to analyze and evaluate the data from 12 villages and towns in Nanxian.Then the rank sum ratio (RSR) method was used to make a synthetical evaluation of NCMS in Nanxian.The evaluation indicators was screened by method of document analysis and systematic analysis, and then use the empiric method to decide the weight of each evaluation indicator. In the end, the synthetical evaluation was adopted.Results:(1) The overall ratio of the’rural residents in Nanxian who participated in Rural Cooperative Medical System was steadily increased from 2006 to 2009. The ratio was 64.29% in 2006,83.97% in 2007, and 90.11% in 2008.The ratio was 83.20% in 2009, slightly decreased because personal charge of rural residents was adjusted to 20 RMB; (2) The benefit range of hospitalization NCMS in Nanxian’s pilot places has been gradually expanded. It is 4.94% in 2006,8.58% in 2007,10.93% in 2008 and 12.42% in 2009; (3) The actual hospitalization subsidy ratio of NCMS in Nanxian has been increased year by year. It was increased by 28.16% in 2007,6.39% in 2008, and 8.82% in 2009; (4) Average hospitalization cost of NCMS members in Nanxian has been increased steadily. It was 2046.29RMB in 2006,2327.48RMB in 2007, 2459.26RMB in 2008 and 2710.30 RMB in 2009; (5) According to the situations of this 4 years, the result from synthetical evaluation with method of RSR shows that the effect of NCMS in pilot places like Qingshuzui village, Wuzui town and Wushenggong village is quite good, while the effect of that is relatively bad in Changyao town and Sanxianhu town.Conclusion:(1) The overall ratio of the rural residents in Nanxian who participate in Rural Cooperative Medical System is steadily increased and benefit range of rural residents has been expanded continuously.(2)The actual hospitalization subsidy ratio of NCMS in Nanxian and average hospitalization cost of NCMS members have been increased year by year.(3)The implementing effect of NCMS in pilot places like Qingshuzui village, Wuzui town and Wushenggong village is quite good, while the effect of NCMS is relatively bad in Changyao town and Sanxianhu town.