Study On Implementation Of Current Situation And Countermeasures Of The New System Of Rural Cooperative Medical Service

The new-type rural cooperative medical care system in China is to resolve the rural residents medical treatment, medical costs and the establishment of a basic medical insurance system, the implementation of this system has brought tangible benefits to farmers, to some extent alleviate the financial burden of farmers. In the specific implementation process, the urgent need to understand the new rural cooperative medical care policy is to meet the farmers needs, whether health, sustainable development, in the implementation of what problems exist in the process. This paper reference literature at home and abroad, use Daiyue District, Tai'an City for example, through questionnaires, visits, expert advice, etc., to collect and collate information and conduct qualitative and quantitative analysis, for the new rural cooperative medical care system to run the contradictions and problems existing in the process, put forward some suggestions and measures with a view to China's new rural cooperative medical care policy implementation and the adjustment of reference.The main conclusions of this study:(1) In the new rural cooperative implementation process, many scholars studied for fear of "adverse selection" problem, with the farmers co-participation rates have increased, not the formation of "adverse selection" and the new rural cooperative medical system of contradictions. Look at it now does not affect the healthy development;(2) For the township (town) hospitals, why is a long time both in the level of talent and technology, medical equipment, service quality, and so difficult for drug quality has improved greatly, it is important reason is that the existing system by the township hospitals, prepared for this. This is a matter to the personnel department, health department, the labor department and other departments of the deep-rooted problems. Must be coordinated by the major departments to develop relevant policies related departments to solve the above problem; (3) In the implementation of the program, almost all of the establishment of new rural cooperative medical system in counties (cities, districts) have to the township (town) hospitals in favor of policy that the township (town) hospitals, as designated hospitals, farmers hospitalization The reimbursement ratio is the highest, while the current township hospitals, village health rooms and very difficult to be changed the situation, which resulted in township hospitals how to solve the position and the contradictions between the systems.The principal innovation of this study:(1) Given the current funding is "household as a unit," then, are the "family unit" reimbursement, managing up to facilitate feasible. Can solve the "same family economic income, the participation of farmers, a person is sick and ill people may have different benefit from the results" problem.(2) To streamline the referral system is imperative. Freedom of the city as soon as possible referral to control the referral outside the city, guiding farmers to minor illnesses into the community health (community) hospitals, serious illness into the hospitals above the county level, both the effective use of health resources in rural areas, but also a big hospital to ease the pressure on crowded at the same time and also reduces the patient's medical burden, saving cooperative medical care funds.In short, the new rural cooperative medical system in the healthy development depends on the success of the government (the manager), medical institutions (suppliers) and farmers (demanders) trilateral cooperation. Exists between these three interests of a certain constraint relations must be "win-win" in order to ensure that its system of health and sustainable development. At the same time, we should as soon as possible associated with the new rural medical insurance system of laws and regulations must be clearly defined by legislation control the content, scope, methods, responsibilities, the stability of the law, mandatory and authority to clarify the rights of the parties and the obligation to promote the new rural cooperative medical system of sustainable and healthy development.