Research In Analysis Of Rural Cooperative Medical Care And Countermeasures In Hai Dian District, Beijing

Public finance is the rarget mode of China's finacial reform in the market economic system. The government's main duty will change from direct intervention in the economy to manage the social utility and protect the livelihood of the people. As a unique and has Chinese characteristics rural health model, the Rural Cooperative Medical System(CMS), which has been more than half a century of history in our country, has played an important role in the political, security and economic health of farmers in different stages of history. The CMS, the net of medical service and the village doctor are the three key points which has been noticeably improved farmers health. This rural medical service system and the security system combined by initial funding mechanisms and basic health carefully reflected the health service and the fairness and respect, which effectiveness and achievements recognized by the world. Due to the imbalance of economic development in different regions of China, it is not possible to establish a unified rural medical system at present time. The government start a new explore.The purpose of this study is to analyze the new situation that the CMS faced and the factor that influenced the CMS. As farmers stressed the principle of voluntary participation in the new CMS, farmers'subjective initiative has great significance to the system development and the consolidation. So, this study which based on the investigation of the 300 farmers in Haidian is to understand the majority of farmers'knowledge, attitudes and preferences to the cooperative medical.This paper consists of five parts. The first part is the introductory theory stating the background and importance of new type of CMS and its aiming field and direction in the future. The second part is the summary of related theoretical basis researching from the theory of public goods, the theories of welfare economics, the theory of social security and human capital theory. The third part is the existing condition analysis of new type of rural cooperative medical care pilot project in Hai Dian District, Beijing. Firstly, summary of the characteristics and forms of cooperative medical care system is made. Secondly, analysis of natural social economy general situation, people, production and income. Finally, historical development course of the cooperative medical care is summarized before the analysis of the existing condition in rural area of Hai Dian District, Beijing through tabular data. The fourth part states the further exploration in the measures of new CMS of rural area in Hai Dian District, Beijing through case analysis of 300 families. The fifth part is the conclusion of the full text, putting forward solutions to the problems in rural area CMS in Hai Dian District.Through this research, we can reach a basic conclusion:A quite good achievement has been reached since the new rural cooperative medical care system implemented throughout the whole country in 2003. Peasants' medical care conditions have been improved gradually in our rural area and the new cooperative medical care mode has been approved at a certain level. According to the research, the actual willingness of participation by peasants is not really high though the participation rate is high now, Even a fairly large number of peasants are not content with the current new CMS and tend to drop out. We can find it relevant to the peasants themselves whether or not they decide to take part in the new type of CMS as well as the local government. First of all, peasants choosing to take part in the new type of rural cooperative medical care depends on several factors:understanding about the system by themselves, attitudes toward the related policies, how much they trust the local government, their ages, education level, children numbers and their economic strength in local village group, etc,.The current practice of new CMS in our country is based on the innovation of traditional system, so improvement and refining is still needed. We should realize that there are still some drawbacks in this medical care system which involved 760,000,000 rural population benefit. The new type cooperative medical care system is focused on serious illness which causes over treatment. Some peasants are not satisfied with designated medical institution as well as the low medical reimbursement proportion.