The Analysis of Participants’ Benefit Conditions under the New Rural Cooperative Medical System in Zunhua
|School||North China Coal Medical|
|Course||Social Medicine and Health Management|
|Keywords||The new rural cooperative medical care Benefit Fairness Influencing factors|
The new rural cooperative medical care system is organized by the government, guidance, support and voluntary participation of farmers, individual, collective and multi-government funding, the system of the farmers based medical Huzhugongji serious co-ordination. The establishment of the new rural cooperative medical system, the departure from China's basic national conditions, a major initiative to solve the farmers difficult problem, for improving the health of farmers, to alleviate rural poverty caused by illness, urban and rural development, the comprehensive construction well-off society has an important role. Zunhua launched in 2005 a new type of rural cooperative medical care, is one of the 25 new rural cooperative medical care pilot counties (cities) in Hebei Province in 2006 new. However, the establishment of new rural cooperative medical ability to fundamentally ease the medical treatment of the problem of rural residents, also need to be evaluated in order to effect the implementation of the new rural cooperative medical system clear. The key component of the evaluation as the new rural cooperative operating results, Benefit Incidence Analysis is both a very good assessment tool, is also the focus of attention. Objective: This study to Zunhua new rural cooperative medical care system different populations benefit analysis as the core, the use of the fairness of research methods to identify the impact of the new rural cooperative benefit unfair reasons and constraints, to improve the new rural co- benefit from the goals of fairness and promotion of new agricultural policy basis; same time, the fairness of the current situation on the the Zunhua new rural co-benefit analysis, and also provide a reference for the city's new rural cooperative work further to carry out sustained and effective. Method: (1) a descriptive analysis: understand the new rural cooperative medical expenses compensation condition and benefit rate. (2) analysis: Understanding the benefit status of different groups of people in the new rural cooperative medical system. (3) single-factor analysis: t-test and analysis of variance, analysis of the the residents benefit of influencing factors. (4) Multiple regression analysis, mining benefit the inhabitants of key factors. Results: 2007 the Zunhua new IICA times outpatient and inpatient compensation fee of 10 yuan and 798.9 yuan, benefit from a wide range of outpatient services than inpatient services. Low-income and low-income people of reimbursement of the total proportion of 15.2%, the highest incomes highest reimbursement of expenses, accounting for 39.4%. 2007 residents of Zunhua new rural cooperative medical out-patient subsidies and hospital subsidies benefit the concentration index were 0.4032 and 0.4654, from absolute fairness point of view, the residents in the new rural cooperative compensation benefit distribution is not conducive to the poor, rich people too number of new rural cooperative funds. Patients benefit from the different agencies of the cost of the compensation ratio is consistent with the overall treatment outside the region below the overall regional organizations, township hospitals above the county-level medical institutions. Also found that although the benefit ratio is low, but there are still some patients choose to high-level medical institutions for treatment. The total cost of hospitalization, sex, marital status, income, know that can be reimbursed and reimbursement ease of new rural cooperative medical benefit key influencing factors, the main factors for the sex, marital status, know that can be reimbursed from a control factors, can be reimbursed know that the most critical factor is the the Zunhua new agricultural co-benefit. Discussed: (1) the new rural cooperative to benefit narrow, the Zunhua the participation in 2007 only 42.4% of rural residents to enjoy the new rural cooperative compensation, more than half of the population do not enjoy any compensation. (2) the beneficiaries of the new rural cooperative shallow depth of compensation lower than compensated for only 7.9% of outpatient medical costs and (3) new rural cooperative funds to richer people, Zunhua survey showed that 14.36% of the cost of hospitalization, the richest 20% of the population has access to all the new rural cooperative medical hospitalization compensation expense 39.4%, while the poorest 20% of the population received only 5.2% of the new rural cooperative medical hospitalization compensation costs. (4) Farmer Participation utilization of health services, regardless of the rate of two weeks of treatment or hospitalization rates, Farmer Participation higher than Farmer Participation, indicating that the new rural cooperative to a certain extent, help to promote the use of health services. (5) reimbursement procedures convenient level is proportional to the benefit of the people that claims more convenient degree of its benefit. (6) benefit the elderly population is higher than the rest of the population, this reflects the new rural cooperative role in the protection of the elderly population, on the other hand is also a reminder to pay attention to the impact of the aging process and the new rural cooperative. (7) off-site treatment, the ratio of compensation may help to control costs, but the level of medical conditions and see, it is difficult to meet the expectations of the treatment of major diseases Ethics. Recommendation: (1) expand the new rural cooperative medical benefit coverage and improve the new rural cooperative reimbursement rate, so that the participation residents truly benefit. (2) increase the proportion of poor compensation, in order to truly improve the poor benefit degrees. (3) improve the existing reimbursement procedures, simplify the reimbursement scheme, in order to enhance the residents of the new rural cooperative medical benefit fairness. (4) According to of Zunhua the process of population aging, early rational planning rate of new rural cooperative fund balances to safeguard the stable and continuous operation of the new rural cooperative and improve the new rural cooperative medical benefit fairness.