Study On Fund Flows And Benefit Of New Rural Cooperation Medical System In JiLin Province

The new rural cooperative medical system, as farmers medical co-ordinate, mutual-aid system, mainly depended on the serious illness as a whole, is guided and support by government, and sources of funding come from individual, collective and government financing. Farmers participate in it voluntarily. This paper is base on the operate situation of Jilin new rural cooperative medical care system fund 2004, and study the flow of the new rural cooperative medical care system fund as core, and start with the content definition of the new rural cooperative medical care system, and further discussed the effectiveness of the new rural cooperative medical care system fund, thus evaluate the new rural cooperative medical care system fund operating results of Jilin Province through research analysis of selecting new rural cooperative medical care system fund flows in different medical institution levels, and the medical subsidy expenses grant ratio of out-patient and in-patient, and analyze the main factors that affect thereasonable flows and efficient use of Jilin new rural cooperative medical care system fund. We can proposed some measures and methods to improve the reasonable flows and efficiency in the use of the new rural cooperative medical care system fund accordanting to the research findings in order to promote the Jilin new rural cooperative medical care system developed well. This paper is divided into five parts as follows:The first part mainly introduced the background and significance of this paper, the status of the new peasants at home and abroad and the construction of the system related situation of the new rural cooperative medical care system in Jilin. Since 2003, the new rural cooperative medical care system pilot projects started from a low level, and explore effective ways to establish a new rural cooperative medical care system. In 2005, the per capita funding standards increased from 30 yuan to 50 yuan, and expanded the scope of the pilot project. Up to 2007, the new rural cooperative medical care system had entered a new phase of development, and coverage rate reached 86%; In the past five years, the new rural cooperative medical care system had developed and grew from small to large, and established the institutional framework and operational mechanism in line with China's rural reality, shown very strong vitality. For the implementation of Jilin's new rural cooperative medical care system. This paper summarized from eight aspects, such as the senate and expenditure of the fund, a senate peasants benefit from the compensation package adjustment, the building management agencies, the new system new rural cooperative medical care system related construction, fund management, management of medical institutions .The second part contains the overview of the new rural cooperative medical care system. It starts from the content of the new rural cooperative medical care system and further expounded on the new course of development, the main contents of the characteristics and the current development of the existing problems of the new rural cooperative medical care system. the earliest China's rural health care main system in China origined in the 1940s of the Shaanxi-Gansu-Ningxia Border Region medical cooperatives. Subsequently, many localities have begun to appear the combine collective and individual, collective health care stations, and co-ordinate mutual-aid stations or manpower stations based on the collective economy. the Ministry of Health official affirmed the rural cooperative medical system at November 1959. In the 1970s, rural cooperative medical coverage rate research 90% of the national administrative villages. Compared to the old cooperative medical care system, the new rural cooperative medical care system has many new features, but it still exist a lot of problems in the process of development.The third part mainly includes the objects of the study, data sources and collection, methods and technology, and the main survey data. This paper collected 2003-2007 annual reports about the new rural cooperative medical care system and financing for the senate, fund operation, a peasants benefit from the senate and the use of medical services from every city and county in Jilin, and so on. We used modern statistical methods, and adopt the description and comparative analysis methods of counties to analyze the the new rural cooperative medical care system funds for out-patient and hospitalization benefits flow in the different areas and different years, and the different levels designated medical institutions flow.The fourth part is results and conclusion. From the overall perspective , the Jilin situation of the fund reflects the purpose of the New Rural Cooperation Medical System. Per capita cost of compensation of the farmers who joins the New Rural Cooperation Medical System is increasing, but the burden of the farmers medical costs is reducing. Secondly, the participation rate is increasing every year in Jilin province, the coverage range is increasing in every year, and the raise funds are increasing more and more. As you known, in the New Rural Cooperation Medical System, the more the number of participants, the broader coverage of the crowd ,the stronger ability to resist risks . In fact, population coverage keep in certain circumstances,the more fund is raised, the more benefit the people gained. If we suitably increase the funding standards, that not only adapt the level of income of the farmers in line,but also further improve the farmers of the senate proceeds to reduce the role of disease ecoimic risk.The utilization rate of funds is reasonable. It proves that farmers has the higher level of a benefits and fund maintain a balance status. In the future of health services provided by the system design , we must strengthen the management of grass-roots medical institutions, pay close attention to patient services. By analyzing the data we can see out-patient account funds have not been fully utilized, this proved partial reimbursement of the cost of outpatient farmers in the day-to-day treatment did not greatly affect the flow . Outpatient reimbursement also claims that a small number of out-patient doctor did not relieve the economic pressure and the role in cost-sharing, on the contrary, that will increase the hospitalization costs . Therefore, after the operation, can consider increasing the number of out-patient cost of the co-ordination, to expand the size and ease the financial pressure on medical treatment.The fifth part is the conclusions and recommendations. The development of New Rural Cooperation Medical System in Jilin Province's in the future recommendations include as follows: 1) to regulate the mode of co-ordination further; 2) to develop reasonable compensation package ; 3) to regulate the use of funds; 4) to clear the scope of compensation fund ; 5) tostandardize patient compensation; 6) to strengthen the management of outpatient compensation ; 7) to improve the fund utilization. The New Rural Cooperation Medical System construction is a long-term, arduous and complicated systematic project. Establishing and improving the new rural cooperative medical system is closely relatd to the health interests of the broad masses of peasants event in the whole Jilin Province.