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Study On The Rural Cooperative Medical System In The Process Of Urbanization

Posted on:2013-05-17Degree:DoctorType:Dissertation
Country:ChinaCandidate:Y ChengFull Text:PDF
GTID:1224330371455013Subject:Sociology
Abstract/Summary:PDF Full Text Request
Rural cooperative medical care is a basic form of medical insurance in rural areas in China and is also a fundamental system to implement health insurance and health services to farmers. Generally, under the current situation of constructing socialism, harmonious society and the new socialist countryside since 16th National People’s Congress, studies of rural cooperative medical care system are becoming more thorough and systematic, with the theoretical framework moving towards consolidation and subject ranges towards diversity. But areas of research of rural cooperative medical care system are undoubtedly generalized and concepts of research are idealized and perspectives of research are unified. Therefore, the study of rural cooperative medical care system must focus on the construction of basic theory, paying attention to the reality of China’s rural cooperative medical system in practice so as to enhance the significance of theory and practice.This article has been designed to deeply integrate researches of the rural cooperative medical system, with study perspectives from the rural sociology, social security science, institutional economics and public policy studies and other multi-disciplinary perspectives. Departure will be placed on the rural cooperative medical system in the historical process of urbanization in China to be a whole different stage of consideration, utilizing the historical research methods and comparative research methods with the vertical and horizontal lines to clearly outline the history changes of rural cooperative medical care system as well as the fracture and reconstruction of the rural cooperative medical system. This paper also has a comprehensive analysis of the unbalanced development in China and of the internal contradiction of the uniformed practices of the rural cooperative medical system. Through comparison of empirical studies, this essay puts forward achievements and problems with regards to the similarities and differences of three rural cooperative medical system practical models. After New-type rural cooperative medical care system being carried out for trials for six years, it is about to be promoted through the whole nation. However, because of the different levels of urbanization, economic development is very uneven in the society, I propose that the implementation of the health care system in rural areas should be adapted to local circumstances and the policies should be adapted to local realities in order to push forward the sustainable development of the new-typed rural cooperative medical systemThis essay studies from the following four perspectives. First refers to the history changes of rural cooperative medical care system. Through a comparative study, making major investigation on the historical process and the general characteristics of rural medical security system in developed countries and construction process and the main features and social functions of the rural cooperative medical care system, analyzing deeply into the reasons of the decline of the rural cooperative medical care system and the corresponding consequences during the period of household business. The second perspective is the fracture and reconstruction of the rural cooperative medical care system. It is firstly discussed the difficulty to restore the the rural cooperative medical care system and the expense of fracture. Then the next is the strategy to construct the new-typed rural cooperative medical care system, pointing out the basic experience and main difficulties of new-typed rural cooperative medical care system. Third are comparative studies of new rural cooperative medical system in practice and operation mechanism under different urbanization levels in central, western and eastern part of China. Conducting a comparative study on the new rural cooperative medical system in practice, characteristics and operation mechanism (including capital raising, the allocation of compensation, supervision and management) under current urbanization level of China in central, western and eastern regions from a regional point of view in horizontal, focusing on the relationship between the respective urbanization level and new rural cooperative medical systems and the evaluation of the new rural cooperative medical systems in central, western and eastern regions. Fourth are policy recommendations for the sustainable development of new rural cooperative medical system under no equalizing development conditions. Focusing on the selection of no equalizing models in the sustainable development of new rural cooperative medical system under different levels of urbanization, profoundly analyzing the new rural cooperative medical system in the main framework of sustainable development and means and path of behavior optimization, and innovating operating mechanism of new rural cooperative medical system, including financing mechanisms of new rural cooperative medical system, compensation mechanism, regulatory mechanism, and protection mechanism.The innovative points of this article are as follows:First, to promote the new rural cooperative medical system in China is to promote the sustainable development of equalization of basic public services, the proper meaning of the title, and must be prioritized and therefore it is clear that the government is mainly responsible for the sustainable development of the rural cooperative medical care system and is the body to optimize the behavior of these subjects. Second, urbanization is the inevitable result of economic development and spatial changes in the performance of forms, ranging from multi-disciplinary and multi-dimensional theoretical perspective. And the rural cooperative medical care system is placed in the historical process of urbanization in China to be at different stages of the overall consideration, using historical research methods and comparative research methods from the vertical and horizontal two lines to clearly outline the historical changes of rural cooperative medical care system as well as the rise and fall. The rise and fall, fracture and reconstruction of the rural cooperative medical care system are attributed to the occurrence and development, consolidation and solidification, ease up and challenge of the binary social structure. The current rural cooperative medical care system is of great advantages and plays a crucial role in the development of the rural cooperative medical care system. Third, under the process of urbanization and non-balanced vision of development, the sustainable development of China’s new rural cooperative medical system also needs to be in a non-equilibrium model, specifically manifesting in the following points:promoting Welfare- Risk-based cooperative medical model in the eastern areas of higher level of urbanization, promoting risk-type cooperative medical model in the rural areas of medium level of urbanization, promoting welfare-type cooperative medical model in the western rural areas of low level of urbanization. At the same time, the development of the western of. At the same time, we need to update the mechanism to raise money, compensate, regulate and appraise the sustainable development of the new type of rural cooperative medical system. (Innovations)...
Keywords/Search Tags:rural cooperative medical care, the urbanization process, historical change, construction practices, sustainable development
PDF Full Text Request
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