The New Rural Cooperative Medical Scheme Performance Assessment With Less Developed Areas

Rural Health is an important part of China's rural society, it is important the health of our rural population and human capital of the issue. Since the reform and opening, social policy adjust, rural areas were lack basic medical insurance scheme, many farmers could not afford the increasingly rising medical costs, without any health services, the poverty is serious. Since 2003, the new rural cooperative medical care scheme (NCMS) was established, Participated farmers could reduce the financial burden of medical care, health resources utilization was continued to improve. But with the new rural cooperative medical scheme advanced, exposed the system and its inherent disadvantages, system design and the conflict between regional differences. how to evaluate the NCMS performance, adjust policies can be Continued development of the urgent the problem.As the basic research ideas, the papers study that financing and the effect of spending money (NCMS), improve the performance and strengthen the supervision of NCMS. The first innovation, through gansu province NCMS financing problems research, the new rural cooperative medical treatment in less developed regions is actually rural areas by the government to provide a public product, enhance the ability to resist disease risk and solve the peasant need most medical accessibility. Who's going to pay medical treatment cost, is the medical security problems, the new rural cooperative medical treatment with the basic social and medical security properties. The new rural cooperative medical care scheme have the moral risk, adverse selection problem, rural medical expenses rise is the result of both supply and demand, the greater for the supple, the new rural cooperative medical fund risk increase. The other innovation, by public satisfaction for the new rural cooperative medical care system performance, makes a positive analysis found unreasonable expense ratio due to the policy of medical treatment, and the stability of the system compatibility between the system, the poor peasants were to solve a problem of accessibility cooperative medical care system become social medical treatment system. While the new rural cooperative medical bear much govement public health programs should be made the responsibility, another system of supervision exist the holes affecting less-developed areas NCMS scheme sustainable development.Research on the new rural cooperative medical scheme, rural medical reform should make short-term and long-term goals.short-term goal is to achieve all farms medical insurance, alleviate difficultly and expensively question. the new rural cooperative medical scheme need to perfect, emphasize the compatibility of the system. The long-term goal of human capital investment, reduceing poverty, by disease treatment to the early diagnosis and prevent diseases. We need to face the reality, the new rural cooperative medical care scheme gradually to the integration of urban and rural areas of universal coverage,.