The Compare Analysis Of The Different Compensatory Project Of The New Rural Cooperative Medical System

Objective: To make a scientific compensatory project in implem- enting the new rural cooperative medical system is one significant condition of ensuring the persistent development of the new rural cooperative medical system. The essence of compensatory project is to provide medical guarantee for peasants joining the system under finite budget and financing, to embody its real function as a guarantee system. So the project can be considered as an important technical tool to realize the goal of cooperative medical system. According to the provision of some relative documents, the new rural cooperative medical system is"a mutual aid rural medical system giving prior to plan the fatal disease as a whole", which is"mainly to subside the high medical expenses or fee in hospital", and"to help peasants resisting risk of fatal disease". It is to find a fitting compensatory model which both have the ability against hazard and give attention to two or more things of benefits, to find the best combination of compensating the fatal disease as an intention and compensating the general disease as a tactic. On the base of assessment in effect of the new rural cooperative medical system implemented in Liaoning province using random front model ,we compared the outcomes of implementing different compensatory project in different area.Method: 94 sample area in Liaoning are chosen objects in this study. The data of investigation in health service of the whole Liaoning province in 2006 is provided by the country department of Liaoning Health Office. It includes the basic condition of social economy in sample area, the basic condition of peasants'joining the cooperation medical system, raising of thefund, the distribution and payout of the fund, compensation on expense for in-hospital and clinic and the assessment index of benefit. The data was checked up. Data processing and statistic analysis are done with the database found in SPSS11.5. The process are:1.compare of efficiency of four different compensatory models; 2.comaration of efficiency of three compensatory levels; 3.compare of the difference in index in four kind of area.Results: 1. There are no significant difference in four kind of area and three compensatory levels by Signed-Ranks Test on the data of low efficiency. But it can't conclude that the compensatory models have no effect on efficiency as the number of sample is too small. 2. There are significant differences in the two indexes of the average payout per participant and the average total financing per participant among four kind of compensatory models area. So it can be thought that any compensatory model would greatly affect the financing and payout of rural cooperative medical fund in running the rural cooperative medical system. 3. The average payout per jointer of the third type of area is obviously higher than other types of area. It can be explained that whether plan the clinic expense as a whole as the in-hospital expense effects more on the payout of the fund, while whether setting up an household account effects less. The average total financed per participant this year of the third and forth area are higher than other two type of area, which explains that compensation on clinic expense is in favor of improving total financing of the new rural cooperative medical system.Conclusions: 1. The selection of a compensatory project is so important that it influences the financing and payout of the new rural cooperative medical fund. The design of compensatory project of the new rural cooperative medical system should follow the principle of"fixing the expenses according to income, making both ends meet, keeping a little surplus, ensuring moderation". Income and expenses is the core of implementation of the new rural cooperative medical system. It also guarantees the implementation persistently and effectively. It is found that the financing and payout differs a lot in different compensatory models. So it's important to make a baseline investigation and measurement of theproject before designing the compensatory project, to evade the risk of burst-up and to guarantee the behalf of peasant joining the new rural cooperative medical system. By doing that, the function of social guarantee will be realized, and efficiency of health service will be improved. 2. It should be careful when implementing the clinic compensatory model. The principle of the new rural cooperative medical system is to make the city as a unit to plan as a whole and to make the household as a unit to join in. The financing mechanism is the combination of personal paying, collective and governmental support. The way of financing mainly includes the navel and local financial subsidy and personal paying. Under the same financing levels, the compensatory model will mostly effect payout of the fund which increases the cost of the new rural cooperative medical system and reduces its efficiency.