Study Of Shanxi Province, The Rural Poor Status Quo And Medical Assistance

Objective: On the basis of the results of investigating and analyzing the poverty population and the health service, how to effectively integrate Medical financial assistant (MFA) with the new rural cooperative medical system (NCMS) was studied to solve the health problem of the peasants who have low income and expenditure. The study can provide in theory and practice an effective running model of MFA in Shanxi Province.Methods: A household survey was conducted to obtain data on the peasant families of the experimental counties, which were then analyzed utilizing the Expanded Linear Expenditure Model to define the poverty standard. The statistical analysis software SPSS11.5 was used to analyze the number and occurance rate of the poverty population, their economic and social features, the situation of their demand and utilization of the health service and the compensation scheme of the assistance pattern.Results: 1. With the basic food expenditure which was reached by the Expanded Linear Expenditure Model as the poverty line, the families whose Per Capital Annual Net Income is lower than 698.23 yuan and is not enough to afford basic food expenditure are regarded as in poverty.2. In the 1920 effective questionnaires, the number of the poverty population is 609 and the number of the non-poverty population is 3698. The statistics show that the non-poverty population has higher income, more education and higher utilization rate of health service than the poverty population. Because of the lower income, the poverty population has poorer health conditions and higher morbidity rate, therefore, their demands for health service and medical assistance are more intense.3. Among the reasons why poverty peasants have not attended NCMS in pilot county, poverty peasants who want to attend NCMS but have no money account a highest proportion,that is 41.5%;poverty peasants who do not attend NCMS as a result of lack of understanding account for 18.86%,this indicates that poverty peasant`s economic level is a main reason because of which poverty family do not to attend NCMS at present in Shanxi pilot county.4. Taking Loufan county and Yushe county as an example. the government has to subsidize 4490 yuan for 449 poverty persons that are interviewed (10 yuan per person), so that they can afford to join the NCMS. Considering the situation of Shanxi Province, the percentage of agricultural population(21,237,000) in the total population (33,350,700) is 60.37 percent; the rural poverty population is 950,000, the population of five-guarantee households is 93,000, 5 percent of the agricultural population. According to this fact, the government needs to offer 9,830,000 yuan annually to help the poverty-stricken people of the whole province to join and benefit from the...