A Study Of Influence The Rural Cooperative Medical Scheme On The Participating Farmers Of Hospitalization Service Utilization

ObjectivesComparison of farmers to participate in the new agricultural use of hospital services before and after the change and its effects; farmers hospital medical institutions compared the choice of change and its effects; preliminary evaluation of the implementation of the new farmers, peasants in-patient cost changes; evaluation reduce farmers Yinbingzhipin Returning the effects of illness.MethodsUsing literature analysis to do background research, collated the main results of domestic and international study. Through applying communities intervening in the experiment to evaluate comprehensively Effectiveness of RCMS, exploring the measure for the management of RCMS and medical cost controlled. 18 the fixed countries after 2003 were experiment group. In Henan according to the sampling method farmers had chosen eight counties from non-implemented RCMS in 2005 as control group. Using prevalence survey investigation methods collected information.ResultsThe use of hospital servicesIntervention and control groups before and after the hospitalization rate was 2.85%,3.35% and 2.75%; before and after the intervention and control group because of financial difficulties and are automatically discharged was 73.30 %, 51.93 % and 73.85 %; tests before and after the intervention group and control group Without thepatient should be hospitalized for the respective ratios was 51.51 %, 25.80 % and44.39 %; tests before and after the intervention group and control group of hospitalsurgery, respectively was 34.40 %, 42.75% and 34.44 %.Residential institutions chooseUse of hospital services to the highest county-level hospitals, the analysis showed thathealth status and economic conditions and the patient's treatment choice.Hospital costsDays of hospitalization, surgery and hospital stay for medical treatment institutionsare farmers, hospital medical costs are the main factors.Hospital costs compensation effectRural hospitals, county hospitals, and above county level hospitals and othercompensation ratio was 27.41%, 18.73%, 18.30% and 6.53%. The most affluentgroup of RR value was 1.57 times the poverty group; corrected, RR appear inverted.Correction of the poor non-poor RR 606 times in the hospital received compensation,the poor non-poor RR correction of 5.79 times, the new farmers with compensation,the breadth and depth of poverty to improve.ConclusionAfter the implementation of the new farmers, increase the utilization of hospitalservices, disease hospitalization rates and other hospital costs different, larger changesin the rate-patient surgery.The use of hospital services factors had changing.RCMS were changing their treatment flows ineffective.RCMS compensation eased Participation of farmers for the hospitalized economicrisks.Compensation for farmers prevalence of poverty alleviate the limited effect.