Research On The Fairness Of Health Services The Implementation Of The New Rural Cooperative Medical Care

Since the new rural cooperative medical care pilot work has been steady increase in funding levels, gradually increasing the number of parameters together, through the cooperative medical fund Participation All farmers compensation for certain medical expenses, to stimulate the farmers to demand for health services, hospitalization is not required to significantly decrease the number of hospital to enhance farmers use of the level of medical and health services. However, the current implementation of the new rural cooperative medical care case, due to limited health care funds, compensation is relatively low, the Senate combined into poverty due to illness after the payment of the cost of most of the needs of their own, in addition to medical costs in recent years up to varying degrees, further exacerbating the medical and health services is unfair. Therefore, it is necessary for the implementation of the new rural cooperative medical care in the fairness of health services research, with a view to facilitating the development of fair and reasonable medical and health policy, the broad masses of peasants to increase equitable access to health care and health services to improve the health of farmers, to alleviate the farmers, "due to illness to the poor, "" returning illness "situation.In this paper, the normative and empirical analysis, comparative analysis, qualitative and quantitative analysis method, the implementation of the new rural cooperative medical care in the fairness of medical and health services were studied. First, the implementation of new rural cooperative medical services in medical and health fair on the relevant theory; Secondly, the implementation of new rural cooperative medical services in medical and health fair for the empirical analysis; again, an analysis of the implementation of the new rural cooperative medical care in the medical and health service constraints fair; Finally, the realization of the new rural cooperative medical care in the medical and health services to implement a fair policy measures. By analyzing the research, the following major conclusions:(1) Medical and health service equity is a very rich connotations of the concept of equitable health services, including two meanings, first, horizontal equity (horizontal equity), and the other is vertical equity (vertical equity), to measure health services should be fair focus on vertical equity, that is, different income levels, different regions, different sectors of the crowd on the use of health services is fair. I believe that health services should be reflected in the fairness of health care services in all aspects of medical and health services through from beginning to end, and should not be limited to a certain context, the specific medical and health services should be fair and equitable, including financing, health care resource allocation fair and equitable use of health services, health fair in four areas.(2) Medical and health services, including a fair evaluation criteria both qualitative and quantitative criteria, qualitative evaluation criteria are based mainly on fund-raising fair and equitable allocation of health resources, medical and health service use fair, health fair evaluation of the meaning; quantitative evaluation criteria is funding under the measure fair, equitable allocation of health resources, medical and health service use fair, health fair evaluation indicators.(3) The cause of public health, the goal to achieve a comprehensive well-off society, the protection of farmers to protect the full enjoyment of the material and the right to equality, to achieve equitable health financing requirements, the decision to achieve the implementation of the new rural cooperative medical care in the medical and health services the need for fair .(4) The implementation of the new rural cooperative medical care in the show the following characteristics: First, the new rural cooperative medical service to farmers, "voluntary participation" principle, the implementation of the central and local, personal tripartite funding, the Senate together to raise their enthusiasm, the Senate combined rate steadily increased; Second, the eastern, central and western regions there is a big difference between funding levels, central and western areas of the low level of funding; The third is a lower funding level of participation of farmers benefit from the combined surface narrow, lower rate of compensation.(5) Shandong Province, the implementation of new rural cooperative medical services in medical and health equity in the empirical analysis, the new rural cooperative medical care improved to some extent, the farmers level of medical and health services, however, farmers in Shandong Province All Senate fund-raising in the family, health resource allocation, participation of farmers together in time and distance on the accessibility for medical treatment, the Senate together to benefit farmers and the state of the burden of medical expenses, medical and health services utilization, health status parameters, etc. All the farmers there are not fair, is specifically manifested in different income groups, different regions the existence of medical and health services is unfair.(6) The impact of the new rural cooperative medical care in the medical and health services to implement a fair system of factors, including factors and system factors, system factors in the new design of the system of agricultural co defects, including participatory mechanisms, financing mechanisms, levels of compensation, payment, etc. ; system factors include the shortage of health resources, widening gap between rich and poor, geographical location and convenient transportation conditions.(7) The author believes that to improve medical and health services to the scientific design of a fair new rural cooperative medical system, the rational allocation of health resources to speed up the construction of the rural medical assistance system and increase the Government's rural medical security building financial support, increase their income, narrow the income gap between urban and rural areas such as medical and health services to achieve equity.