Study On Equity Of The New Rural Cooperative Medical System

Eighteen big reports of the party put forward the "three fair" concept, namely, gradually established a fair right, fair opportunity, rules of fairness as the main content of the social security system of justice, and strive to create a fair social environment To ensure the people’s right to equal participation and development. As a social medical security system in rural areas The New Rural Cooperative Medical System(NRCMS) is not only the important theoretical problems to promote the equalization of basic public service, accelerating the development of social undertakings in rural areas, but also an important practical problem to solve the current "three rural" work.Based on the operation practice of NRCMS, with the core value goal of sustainable development of new rural cooperative medical system in the "fair" as the starting point, this paper comprehensivly judged the fairness of the restricting factors of NRCMS under the proposed system and put forward the theory of institutional innovation and scientific countermeasures for the sustainable development of NRCMS from the system of supply side and demand side as well as the system of stakeholders. There are five research contents inculding:study on NRCMS target value and framework of health fair, quantitative evaluation of farmers health equality condition, the fairness of the evaluation of NRCMS, research on the fairness of the action mechanism of NRCMS and research on the innovation of NRCMS health equity mechanism, and the thesis is arranged as follows:The first chapter is the introduction part. This part puts forward the background and significance of research of fairness on NRCMS, briefly introduces the research path, this paper’s main research content and research methods, and point out the possible existence of innovation and deficiency of this paper;The second chapter is the theoretical basis part. Using the method of literature this paper reviewed the research of NRCMS in the fairness of financing, resource allocation, compensation etc.The third chapter is the research target and definition part. With the fairness problem as the value orientation this part studyed the NCMS fair theoretical framework and definited the boundary;The fourth chapter is the basic research par. This part explained health quantification method of health quality index QWB and body mass index BMI at first, and then quantitatively analysed 2004-2011 expansion and national CHNS farmers health data and tried to find out the factors that may affected the health of farmers through comparative study of different demographic characteristics, different economic conditions, different social background, different health consciousness and the different NCMS farmers;The fifth chapter is the fair process research of NCMS. As the object of 2004-2011 national CHNS farmers, with the index of concentration, this part focused on the new rural cooperative medical system in the financing of unfair, unfair compensation and unfair allocation of health resources in three aspects as a starting point of NCMS unfairness. At the same time, taking Sangzhi County as a case the paper empirically analyszed the implementation of the new full reimbursement mode in Sangzhi county in different populations;The sixth chapter is the part of study on effects of health in NCMS. Using the fixed effects model, with the farmers’ health fair for result oriented, this part explored the influence of farmers’ health equity of new rural cooperative medical system factors and relevant demographic, economic, social and psychological factors;The seventh chapter is the system improvement research. Based on the above conclusion, this section from the new rural cooperative medical system and social security system improvement put forward some reference suggestion.The eighth chapter is the conclusion part. This part summarizes the whole thesis and puts forward the further research direction.