The Influence Of The Adjustment Of New Rural Cooperative Medical System To Rural Residents Of The Project Counties Of Economic Burden Of Disease In NingXia

Objective Analyze the influence of the adjustment of the New Rural Cooperative System to the farmers' economic burden of disease and catastrophic health care payment among the different group of the project counties in Ningxia. The project counties including Haiyuan and Yanchi.Evaluate the effect of the adjustment of NCMS to equity in health service and put forward policy recommendations for perfect development of NCMS.Evaluate the effect of the adjustment of NCMS to equity in health service and put forward policy recommendations for perfect development of NCMS.Methods Using the stratified random clusters sampling and homemade questionnaires,select participants of the project counties and collect research data. And follow up with the participants in the years of 2011?2012 and 2015. Two-step model method to calculate the economic burden of disease changes in Haiyuan and Yanchi for four years. With the concentration Index to describe catastrophic health care payment is happening.Results(1) Two counties have entered an aging society, the two Numbers is 11.3% and18.4%, respectively.(2) Two weeks in the low-income group composition of clinic on people than on the rise in two counties.(3) In Haiyuan county, the cost for each outpatient is on the decline in low-income group, other groups are on the rise; All groups the income of rural residents are outpatient medical expenses is on the rise in Yanchi county;(4) The two counties,two weeks per capita purchasing medicine basic is on the rise.(5) With the income increase,the hospital coasts are on the rise in the two counties.(6) With the income increase, The prevalence of chronic diseases is on the rise.(7) With the income increase, per capitaeconomic burden is on the rise.(8) Low-income and middle-income group of rural residents of indirect economic burden is on the decline.(9) With the income increase, catastrophic health expenditure incidence is rising; In Yanchi county the incidence of catastrophic health expenditure is on the rise in all income group.(10) Catastrophic health expenditure easy make out in high income group.Conclusion 1.With the NCMS adjust, reduce the disease economic burden of the low-income rural residents, but high income residents still heavy.2. Catastrophic Expenditure househole rate biased towards the higher group family in Haiyuan.