Research On The Demand And Supply Of The Cooperative Medical System In The People' Republic Of China

Rural Cooperative Medical System (CMS) is the basic medical security form in Chinese rural area. However, with the reformation of rural economic system, traditional rural cooperative medical supply declined rapidly. The peasants in our country lost the basic medical security while rural medical and health condition deteriorated. The problem of poverty caused by illness become more and more serious.In order to improve the rural medical & health condition and relieve the burden that illness brought to the rural households, our government has actively begun to explore and rebuild the rural CMS, and reset the supply of CMS as well since 1990. In early 2003, our government began to carry out a new type of CMS. Since then, the construction of CMS has stepped into a new stage.However, since 1990, the effective demand & supply of our CMS still remained at a low level. The supply & demand of CMS only realized a low-level equilibrium, while the all-round social development requires that the effective demand & supply of CMS reaches a comparatively high level and realizes high-level equilibrium. Therefore, since 1990, the effective demand & supply of CMS is comparatively insufficient and behind the development when it compared to the required demand & supply level.This thesis aims at analyzing and solving this problem. It analyzes the reasons of comparatively insufficient demand and supply of CMS since 1990, and put forward some suggestions so as to give some references to promote the construction of CMS. In chapter 1, that is the introduction, it introduces the background and present situation of CMS, elaborates the purpose, ways of thinking, methods and framework, illustrates the significance and innovation and clarifies the shortcomings and following researched direction of this paper.In chapter 2, it elaborates the basic theory of this paper, including the basic theories of medical insurance demand and supply, game theory and new-institutional economics.In chapter 3, it introduces the basic concept and history of CMS, analyzes the characteristics of the new CMS, defines the origin of CMS and reviews the 7 stages of CMS.In chapter 4, it set up the peasants'demanding model for CMS based on the previous research, mainly including paying ability model and models of willingness to pay, which are used for analyzing and explaining the demanding behavior for CMS of rural households. On the basis of this, it put forward the problem of comparatively insufficient demand of CMS, and analyzes the reasons.In chapter 5, it reveals the supplier of CMS is government, but the realization & maintenance of supply is affected by rural households & specific medical organizations through the construction of three part participating system, including government, peasants & specific medical organization and lasting gamble. It is a consequence brought out by three parts. On the basis of this, it points out the comparatively insufficient supply of CMS, and analyzes the reasons.In chapter 6, it proposes the solution to the problem of low-level equilibrium of demand & supply of CMS, and gives some references to promote the new CMS and realize the high-level equilibrium of demand & supply of CMS on the basis of chapter 4&5.