The Research On The Unnecessary Institutional Cost Of New Rural Co-operative Medical Care And Controlling

Building new rural cooperative medical care has somewhat relieved the burden of peasants to see doctors expensively and difficultly, embodies scientific development ideas, and has already been admitted by the government and educational circles. Although the experiments of the new rural cooperative medical care has got very big achievement,the new rural cooperative medical care confronts with a lot of problems to be researched and resolved. On base of study in theory and practice,we agree well with that the maximal problem of it is an inadequate funds,the insufficiency of running and managing funds. The reason about this problem lies mainly in the unnecessary system costs besides the local financial straits or difficulties .There are four kinds of unnecessary system costs in it: the unnecessary funding costs; the unnecessary managing costs; the unnecessary supervising costs; the unnecessary opportunity costs.The reason why the unnecessary system costs of the new rural cooperative medical care exist lies mainly in: The passivity of the main system benefitors; The self-interest of the main body who carries out the system; The ability finiteness of the main body who carries out the system; The constraint of traditional ideas.The lowering of the new rural cooperative medical care is system engineering. It is necessary to start with financing mechanism, managing mechanism, supervising mechanism and offsetting mechanism advancing side by side. Then it is possible to achieve good results. From the long view, it is to be responded from several aspects as follows: Make strict system of cost-controlling; Make use of scientific and technologic creation; Strengthen the collaboration of systems. At present,it is to be responded from several aspects as follows: Merge the related managerial institutions or make the concrete business managed by commercial insurance company; Practice classified,unified financing way to the fees paid by the peasants; Encourage and attract peasants to participate in the management of the new rural cooperative medical care; Make the duty to supervise the rural cooperative medical care exercised by people's congress and standing committee of the various levels; Carry out the immediate way to offset.The view of the unnecessary system costs of the new rural cooperative medical care is a creation during the course of the research on the new rural cooperative medical care. The study on it will boost the development of the new rural cooperative medical care in practice,and bring more and better quantitative researches on the system cost of the new rural cooperative medical care. These studies will improve and perfect the new rural cooperative medical services,make contributions to improving peasants'health being.