A Study Of Implementation Of New-Type Rural Cooperative Medical System In Poor Country

Objective:To investigate peasants' cognition and appraision on new-type rural Cooperative Medical System(CMS) in the poverty-stricken ethnic minority counties; understand,analysis,evaluate the situation of new-type rural CMS,found out problems in operation;so as to provide a basis for policy decision and to improve the new-type rural CMS.Method:Multistage sampling method was adopted to select poll from elevenpilot counties and information was got by household interview.First,all towns in Rongjiang Country were divided into good,bad and three-tier by economic development level.Then,select one township from each level randomly,Finally, selected two villages which one is the seat of township clinics from the three towns. there are six villages in all.Results:1,Two weeks prevalence rate of disease is 17.2%;the past six months prevalence rate of 4.8%,higher than the level of the four types of rural investigation (123.6‰,99.0‰) in 2003.2,The average rate of participation of CMS is 80.77%;the participation of CMS is different in every town in Rongjiang County.3,9.52%peasant was benefited from CMS.4,The gross cognition rate is 52.5%,41.2%.5,Ater the implementation of CMS,the ratio of which peasant choose to private clinics for medical treatment fell to 2.2%from12.4%.6,76.3%of the respondents believe that CMS are to benefit the masses of peasants,the CMS has been recognized by most of the peasant.Conclusions:1,To strengthen responsibility of government in new-type rural Cooperative Medical System(CMS).1.1,Establish and perfect new-type rural CMS system and the administrative ability must be raised.1.2,The management in Contract Hospital in CMS should be strengthened,to set up a mechanism of fair and segregated operation and augmented supervision to health care.2,Give more publicity to the new-type rural CMS,increase peasant's cognition.3,To set up an non-profit medical institutions occupy the leading position in ther ural medical service system,enhance primary health services 1 capacity in rura3.1,Do the township clinics as the driving force,build Health Room in every village,to make every peasant can have access to timely health care services3.2,Medical personnel and professional health workers will undergo vocational training.3.3,To value highly traditional minority medical and foster medical specialists for minority peoples.4,To explore new ideas to improve new-type rural CMS.4.1,Make the city the unit for experiments in collecting funds. 4.2,Make use of the opportunity to increase fonds,launch comprehensive arrangement for serious disease be combined with out-patient.5,Consummate medical assistance system to relieve the peasant problems of poor due to disease.