Study On The Policy Of Continuable Development Of New Rural Cooperative Medical System In Xishan County Of Kunming City

ObjectiveTo study the current situation of the policy about the new rural cooperative medical system (NRCMS) in Xishan county of Kunming city. To understand the executive of new rural cooperative medical policy in Xishan District. To gain the real idea of NRCMS among rural residents, party and government cadres, and co-management office staff, medical and health personnel. To analyze recent three years'implemented status in order to guide NRCMS practice.MethodsField epidemiology was used in this research. From 2007 to 2009,the NRCMS data was collected from annual report forms and questionnaires that included the documents of implementary planning,the proportion of participants of NRCMS among the population and financing funds. All data were analyzed by using SPSS statistical software package.ResultsReduced fund finance support of NRCMS and the increase of compensation. The analysis of the situation of finance support and compensation showed that with the increased awareness of health among rural residents, the benefit rate of compensation fund increased every year. Out-patient benefit rate and hospital benefit rate of compensation in the first half year of 2009 separately increased 5.5% and 0.37%, compared with that of 2008. Many people participated in urban basic medical insurance thus finance support of NRCMS reduced, because of urban development ,land using increased ,expanding of urban resident changed with rural resident. It caused the lack of finance support and suggested that subsidy of central finance increased 20yuan per year per person in 2010 on the basis of the original, so does the local finance. So the financing funds can reach to 170 yuan per year per person (central finance 60 yuan +local finance 90 yuan + Individuals pay 20) ConclusionsXishan district of the NRCMS run well. The policy of compensation was available. In 2009 due to Farmers turned non-farming, the people to participate has reduced, the number of new rural cooperative funds plate decreases, Deficits,due to the regression analysis,Proposed in 2010 to increase local financial assistance 20 yuan,Local financial assistance to reach 90 yuan per person per year, so that The new rural cooperative fund-raising reach 150 yuan every body every year.In summary, Xishan's NRCMS should insure the finance for main serious diseases and consider the unserious diseases. The appropriate adjustments of compentative policy of NRCMS is needed. The finance support from local government should be increased to make more benefit for residents. The training of basic health care technique should be hold to improve the service quality. The development of NRCMS need to mobilize different kinds of persons to take part in.