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

Study on the Fund Operating Mechanism of the New Rural Cooperative Medical

Author WeiXinZhi
Tutor XueXingLi
School Shandong Agricultural University
Course Agricultural Economics and Management
Keywords The new rural cooperative medical care Fund Financing mechanisms Compensation mechanism Regulatory mechanisms
CLC R197.1
Type Master's thesis
Year 2008
Downloads 207
Quotes 2
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The new rural cooperative medical care system is the Party and the government to address the farmers shake off poverty issues and the establishment of a new system. The new rural cooperative medical fund as the most important part of the normal operation of the system and the basic material guarantee is related to the fundamental interests of the majority of farmers. So, how well the organization and functioning well the new rural cooperative medical fund, set up to adapt to local social and economic development financing, the compensation fund operation mechanism and supervision is essential. This is for the promotion of new rural cooperative medical system in sustainable development and poverty caused farmers to solve problems due to illness, thereby promoting social harmony and stability is of great significance. In this paper, investigation and analysis and research, draw the following basic conclusions: (1) Laoshan District, Linyi County Guangrao County, and since 2003 for the new rural cooperative medical care pilot work since, in practice, through continuous improvement and development of new rural cooperative health care system has been basically established. Mainly in: the participation rate further improved; levels of government to continuously improve the level of financial assistance; new rural cooperative medical subsidies to farmers continued to improve, farmers benefit from the constantly expanding; primary care infrastructure continue to complete medical conditions gradually improved farmer . In short, the new rural cooperative medical system implementation so that farmers shake off poverty phenomenon has been effectively alleviated. (2) calculation model by establishing funding levels, to raise funds for the three counties of the level of analysis, although the level of funding in recent years, three counties in the continuous improvement, but there are still many problems: from the perspective of the medical needs of farmers point of view, the current funding level is far from resolved farmers difficult and expensive problem; lack of fairness of financing and so on. This paper proposes to establish a government subsidy should be based, supplemented by paying farmers, collective benefits and social donations to supplement the funding mechanism, the government and farmers more reasonable funding ratio should be 5:1; scientific and reasonable to determine the level of funding to meet farmers' basic medical needs, the proposed current government financial assistance may be increased to 120 yuan. (3) through the three counties fund compensation mode, the compensation plan and compensation for farmers benefit analysis of the situation concluded that the new rural cooperative medical fund compensation still exist the following problems: First, fund compensation scheme is unreasonable. If payment structure is irrational; compensation scheme incompatible with farmers accustomed to medical treatment; reimbursement methods complicated, complex procedures. Second, the compensation process in the fund account funds exist in a large number of precipitation family, co-ordinate fund cost overruns and medical institutions Behavior NCMS fund operational efficiency and other issues. In this regard, proposed further reform and improve the compensation mechanism countermeasures. Recommendations to the 2010 compensation ratio should reach 50-60% level. (4) the new rural cooperative medical fund regulatory management system still exists unreasonable; farmers' management of the Fund in the absence; regulatory issues such as more extensive. Therefore, we should take the following measures: rationalize health care management system, strengthen the system construction; improve agency management capabilities, security management funds; strengthen the supervision of the Fund.

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