Reform Of The New Rural Cooperative Medical System

Traditionally, the Rural Cooperative Medical Service System has a vital role in improving rural medical treatment conditions in China and is one of the basic policies for promoting the construction of social, democratic and new rural areas. Then, the farmer's expenses on medical treatment are continuously increasing; and they are served by low-quality medical institutions in the rural areas. There are more cases of causing poverty by diseases. Thus, aiming at building an integrated, comparatively well-off and harmonious society, it is urgent for the theorists and practitioners to build an effective and extended rural medical services system and to solve the problem of farmer's expensive hospitalization. This dissertation, which starts with the background that advances from a public policy named "Rural Cooperative Medical Services Policy" and bases on the external features of Rural Cooperative Medical Services System and characteristics of public products, will analyze the problems from the rural medical treatment revolution, discuss the development of our Rural Cooperative Medical Services System according to historic evolution, thus, make a feasible analysis of it, reorient its direction of revolution and implementation according to government functions, construe the prevalent difficulties in the implementation of this policy, and with both theories and practice in mind, offer some exact policies and suggestions, in order to perfect and better promote New-type Rural Cooperative Medical Services System in China.The dissertation is composed of five chapters:Introduction, I explained the background and significance of selecting this topic, determined the study pivot and direction, and made explanation on study clues and methods. Solve the problem of farmer's expensive hospitalization as the research background in this dissertation and in building a new type of Rural Cooperative Medical Service System of China is very significant.Chapter One, which bases on historic evolution, academically summarizes the development and main standpoints of Rural Cooperative Medical Service system and summarized the beneficial experiences and lessons from foreign countries during their building rural medical service and security systems. This chapter mainly studied the basic ways of foreign countries in dealing with rural medical service and security matters, for example Germany, Japan and India, etc. These good practices are very significant references for China's rural medical security.Chapter Two, from public policy research obtaining, analyses the Rural Cooperative Medical Service system in China. It advances the problems of traditional medical care modes in the beginning, thus, makes an evaluation for the policies and contents of New Rural Cooperative Medical Service System, emphasis on the new cooperative medical Service system carries out the difficulties and many sorts of barriers in this county, and proposed the countermeasure and suggestion.Chapter Three is demonstration research, take Guizhou Province Da-fang County's rural healthcare innovation as example, carries on the investigation and study, analyzed to this county of new-type rural cooperatives medical service system implementation situation, emphasizes various barriers and provides many countermeasure.Chapter Four, from the point view of government functions, offers advice on the perfection of New-type Rural Cooperative Medical Service System in China and emphasizes government's responsibilities and actions in the process of perfecting this system. What's more, it takes the fact of NGO provides the public goods to society, which is the Non-Government Organizations' beneficial supplement to government as this essay's innovative view to make a practical analysis with both theories and practice in consideration.Chapter Five, the conclusion, in the theoretical analysis and in the real diagnosis research foundation, unifies author's findings, will propose some possibly still the imperfect reform conception as well as next research important domain.