Dissertation
Dissertation > Medicine, health > Preventive Medicine,Health > Health care organizations and career ( Health Management ) > Health care systems and institutions > Health care system

Study on the New Rural Cooperative Medical Care System in the Vision of Participants

Author YinJianQin
Tutor LingWenHao
School Henan University
Course Social Security
Keywords NCMS participants the government’s responsibilities the third-level medical institutions in rural areas
CLC R197.1
Type Master's thesis
Year 2010
Downloads 161
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As an important measure for improving people’s living standards and improve the rural social security, the new rural cooperative medical-care system (NCMS) has made remarkable achievements since it was carried out. This can be seen from the following aspects: the design of the NCMS continues to improve and a corresponding network of rural medical and health services has basically been established; Farmers have changed the concept of medical treatment and the mutual-satisfaction, support and confidence of NCMS became higher; The "impoverished by hospitalization, fell back into poverty due to illness "phenomenon have been alleviated. However, there are still some deficiencies which, to some extent, influencing the sustainable and healthy development of the new rural cooperative medical-care. For this reason, by analyzing the NCMS from different points of view, through pointing out the responsibilities and role of the government, and the professional skills and literacy that the designated medical institutions and health care workers should possess, the correct concept of selecting doctors that farmers should possess, this paper is to explore a coordination mechanisms to balance the interests of the government, health agencies, farmers, and the commercial insurance companies. This coordination mechanisms will ensure the NCMS be constantly adjusted and improved,and to develop in a healthy and sustainable way . The ultimate purpose is to realize the social justice, stability and harmony.Since the implement of the new rural cooperative medical-care system in 2003 to the present, the weakness and shortcomings of it has gradually appeared. On the basis of the relevant academic research, by the method of combining the field survey and relevant literature, taking the facts of the NCMS in Hui Xian, Henan Province as an example, this paper is to analyze the NCMS from different perspectives, in order to find the achievements and shortcomings in the reform, and how to deal with the problems and take appropriate countermeasures. Firstly, from the government’s perspective, this paper is to analyze the responsibilities and roles of the government in the new rural cooperative medical-care as well as the inadequacies of the government as the organizer and manager. Secondly, from the perspective of the third degree medical institutions in rural areas, it will point out the need to enhance their service capabilities based on the current status. Thirdly, from the perspective of the farmer, this paper analyzes the achievements and shortcomings of the NCMS through farmer’s satisfaction and expectations. Then, from the perspective of commercial insurance companies, it indicates some obstacles still existing in the participations of the current commercial insurance companies in the NCMS. At last, through the analysis of the four participants, it proposes the appropriate countermeasures to their problems.This paper studies from different perspectives to make up deficiency of the one-sided perspective of the past, so it has a certain practicality. Improving facilities and labor resources in rural hospitals were non-controversial. In this case, this paper proposed to establish the township-level hospitals as the core , to distribute the health resources rationally and to build "the first diagnosis system "and" two-way referral system " between the different levels of medical institutions. In addition, this paper attaches great importance to improving farmers’satisfaction, increasing the farmers’awareness through greater advocacy, and cultivating their proper concept of selecting doctors through various channels. Finally, as my lack of the theoretical basis and practical knowledge, there are inevitably mistakes and shortcomings. I will continue study and work on this research in the future.

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