Research On The Influence Of Rural Population's Mobility On The New Rural Cooperative Medical System

The rural population's mobility broke the mode of population classification according to household registration, the floating population becomes a kind of"Marginal Group", and their health security has become the serious problem that the Social Security system will deal with. Flow ability of the floating population is extremely big, the factor cause to participate in medical insurances interruptedly, own healthy behavior consciousness is weak; moreover the government lacks the compulsory legal safeguard to the floating population participating in medical insurances, therefore the floating population really has certain difficulty to participate in the medical insurances in the city. In principle, the countryside floating population is the countryside resident, belongs to the object to guarantee by new rural cooperative medical system; Moreover the short-term working farmers in the city, in the future they also will have to return to one's native village massively, they will depend on the new rural cooperative medical system. But the new rural cooperative medical system sustainable development mechanism raising fund, the cooperative medical system fund management and surveillance, cooperative medical system economical compensation mechanism, cooperative medical system organization management and so on, the factors have not considered of the countryside floating populations, Reasonably and scientifically Because of Localization management of the cooperative medical system, the countryside floating population to participate in and to enjoy the cooperative medical system faces many inconveniences. Therefore this research takes the rural population flowing as an important variable to influence the new rural cooperative medical system, according to the above to survey the countryside floating population medical security question, in order to offer foundation of protecting new rural cooperatives medical system for health administrative departmentObjectiveThrough studying this paper, explore the rural population flowing to produce the effect on new type rural cooperative medical system, then to avoid negative effect, to give full play to positive effect, to perfect the new rural cooperative medical system for the administration of public health department to provide the policy suggestion.Methods1. Document study:Consulting the domestic and foreign related population flowing and the cooperative medical system research literature, uniting topic research content; analyzing the measure and the strategy which profits from.2. In-depth interviews:Interviewing the leader of the Qianjiang of Chongqing city health bureau cooperative medical system office administrative and other leaders by half-structural interviews. Qualitatively understand the limitation about the floating population to participate in and to enjoy the new type rural cooperative medical system and to seek suggestion and the countermeasure of the question.3. Focus-group discussion:Inviting the village cadres, the elders, the party members to analyze the limitation to carry on the discussion of the floating population participating in and enjoying the cooperative medical system, and to propose the improvement measure and advise.4. Questionnaire survey method:Using the standard, the standardized questionnaire survey, the questionnaire includes the family basic situation questionnaire, the population mobile family questionnaire and the population immobile family questionnaire. 5. Statistical analyses method:Data are input in the questionnaire by using the SPSS11.5 and Microsoft Office Excel 2003 and deal with by the SPSS11.5 and Microsoft Office Excel 2003. Carrying on statistics descriptive analysis, the single factor chi-square test according to the data nature.ResultsThe factors to influence the floating population to participate in the new type rural cooperative medical system, not only has the economic factor, but also has the demographic sociology factors: The marital status, the floating population's the work nature, whether to participate in the commercial insurance and the social medical security or not , the time to go homeConclusions1. But in the population mobile situation, this principle of"the family as unit"financing brings effect on the new rural cooperative medical system:1.1. The principle increases difficulty which the government implements new rural cooperative medical system in the countryside comprehensively1.2. The principle cannot truly display cooperation of the cooperative medical system altogether to aid, the health security function; Cannot achieve to alleviate the countryside the poverty due to illness, return-to-poverty1.3. The principle cannot consider the floating population in the outside areas to participate in other medical insurances2. Under the population floating Background, the management of the rural cooperative medical system adapts the need of parents, prefect the rural cooperative medical system2.1. The management of the rural cooperative medical system should grasp the object of fund raising, adapt to the population floating background2.2. The management of the rural cooperative medical system should plan scientific and logical compensating proportion, for the floating population, Simplify the compensating Procedures 3. Under the population floating Background, the management of the rural cooperative medical system is sure to the fund safeSuggestions:The government solves the floating population medical security problem not to be able to get it done in one action, we should divide the stage, gradually carry on.1. From the short-term, take some region as the reference, divides into the floating population the in population mobile and the population immobile, according to the working time length to divide into the long-term floating population and the short-term floating population. The floating population should act the concrete. Measure to participate in the new rural cooperatives medical system according to its mobile characteristic.2. Long-term solution: the government finally must break the mode of the city and countryside dual structure; establish the national Unified social security system.To break the mode of the city and countryside dual structure is the urgent need of social justice, benefit, and stable, also it will push to establish the social security system to satisfy the city and countryside population, make everybody enjoy the medical insurances, maintain people's healthy goal.