Analyze The Financial Accessibility To The Utilization Of Health Services Of Rural Residents In Langzhong Country Of Sichuan Province

Objective To analyze and evaluate the financial accessibility to the utilization of health servicesof rural residents. Firsty, to analyze the financial factors how to affect the peasant to utilize thehealth services. Secondly, to analyze the peasant’s financing behavior through internal orexternal channel how to deal with the economic burden caused by falling ill. Analyzing andevaluating the financial accessibility helps us to realize how we can prevent the peasant frominfluencing by the poor economic situation caused by falling ill, and to further propose theadvice of perfecting the system security and improving the financial access to health services inpoor rural area. Those advice can give health decision makers and researchers some theories andreferences when they are intend to adjusting the health policy, keeping the balance of the equity,efficiency and quality in the health field, enhancing the access and equity of utilization of healthservices in the poor country, achieving the goal everyone will have the chance to access basicmedical and health services, serving the health to the broad masses of the people.Methods Using document research to analyze the theory about the financial accessibility ofhealth services and the utilization of health service in rural residents. Using the healthquestionnaire in field survey to analyze the effects caused by economic factors during theprocess of the peasant utilize the health services. the question in the questionnaire describe thefinancial accessibility of utilization of health services in terms of the sociology characteristics ofthe peasant, the situation of utilize of health service, and the behavior of raise fund, all thosedescribe are analyze the effects of economic factors during the process of utilization of healthservices, the compensation of treat expenses by medical insurance, the affordability of peasant tothe cost of utilization of health. Combing with referring the fourth National Health ServiceSurvey Report and China statistical yearbook published in2011to compare the difference ineffects of the financial accessibility of utilization of health services in rural residents.Results In the data of rural residents in this survey, two-weak prevalence and serious illnessprevalence of poverties are22.3%and12.5%respectively. Patients without physician contact are22.52%, persons with or without hospital admission are2.8%and33%respectively, the primaryreasons of patients without physician contact within two weeks, patient without hospitaladmission and early discharge is poor economy. The difference in the prevalence of two weekillness, serious illness and the patient within two week without physician contact in differentfinancial situation were statistically significant, the prevalence of two-week illness, two weekpatient without physician contact and serious illness in the rural residents of better financialsituation is lower than worse. The difference in the prevalence of patient with hospital admissionof different income people is no statistically significant. The spending of two-week outpatientservice and hospital service is respectively109.04yuan and3271.95yuan per person, the extraexpending caused by be in hospital is435.16yuan per person, the difference fees of income group spending on two-week outpatient in the village health room rather than other two-weekoutpatient visit place has statistically significant. The difference of hospital expending bydifferent income people isn’t statistically significant. Compared with all the rural residents inChina, those spending are lower. the ratio of patient in this survey get the reimbursement fromnew rural cooperative medical system lower than the national average level, the patients the lastbe in hospital In this survey,54people got the reimbursement among100people, they got fromnew rural cooperative medical scheme is12percent of the total hospital expending, thedifference in reimbursement are no statistically significant.Discussion The economic factors are mainly obstacle related to the reason of patients withoutphysician contact within two weeks, patients without hospital admission and the patients earlydischarge.the cost of health services should afford by the peasant themselves, the percentage ofincome spent on utilizing health services of the people with worse financial situation is higherthan better. The spending in utilization of health services sit heavy on lower income people. Theutilization of health services of lower income people is worse than the higher. The advice toimproving this situation is as followed: strengthening the power in the terms of governmenttransfer payment from the exchequer to the health funding used by rural residents. Ensuring theaccessibility and equity of basic health service in different people, enhancing the development ofthe basic health institutional network and the multi-level medical security system, increasing theinsurance compensation of new rural cooperative medical care is should to get the especiallyattention to focus on, preventing the rural residents from restricting by the economic factorduring the utilize of health service.