Study On The Running Status Of New Rural Cooperative Medical System And It’s Economic Impact On Households In Rural Yu Long County Of Yunnan Province

OBJIECTIVE Via the data of the cross-sectional household survey in May,2011in Yu Long county, understanding the running status of new rural cooperative medical system, estimated the direct cost of main chronic disease and its economic impact on households in rural Yu Long county of Yunnan province. Discusses the new rural cooperative medical Yu Long county in Yun Nan province rural family catastrophic health spending and the role of rural families of the catastrophic health spending influencing factors, and to perfect the related department new farming system and provide the scientific basis.METHODS Using cross-sectional survey, adopt the method of probability sampling (PPS) in proportion, the extraction of16town20administrative villages of Yu Long county, from selection of using simple random sampling method in extracting15village household questionnaire survey. All respondents for each family member. Can’t understand the questionnaire content members by their family instead of answer. Statistical processing of data, the basic data are descriptive analysis, the comparison between different rate with inspection were analyzed, and the measurement data using analysis of variance and rank and inspection, rating information with rank and inspection, multiple factor analysis in multivariate statistical methods of stepwise regression analysis.RESULTS There were a total of300households, actually1186people in this study, including570male(48.1%) and616female(51.9%), the Naxi accounted for the highest proportion (60.7%), followed by the Han nationality, Bai nationality. The average family income of investigation is13000±12000yuan.,the families were getting great feedback from the new rural cooperative medical system (85%participating families considered the new rural cooperative medical system were good), there were98.7%families plan to continue participating plans next year, the main reasons were it can resist disease risks and also can be reimbursed or reduction of medical expenses. There were40poor families in our investigation, the main factors leading to poverty for the land acquisition, natural conditions or disaster and lack of labor force. The Investigation families thought that the main defects of NCMS were the reimbursement proportion is too narrow (37.3%), reimbursement ratio is too low (30%), and reimbursement procedures too complex (13.2%). The Conditions for medical assistance is not clear. People often picked up the township hospitals (40.4%), village health room (34.7%), the county hospital (19.3%) as their medical unit, the main reason were:distance (48%), fixed-point units (14.8%), the charge is reasonable (14%), good service attitude (9.4%), a high level of Technology (7.6%) etc. The investigation of people are suffering from chronic diseases were hypertension, rheumatic arthritis and gastric ulcer. The hypertension prevalence rate is27.5%(the prevalence rate of male was23.9%, female30.3%), there was no statistically significant between male and female of prevalence rate of hypertension (P>0.05). the average direct economic burden was1378.53yuan in the main chronic diseases patients, which male patients was1690.12yuan,1182.32yuan for the female patients, the difference between them had statistically significant. There were24catastrophic health expenditure households, after the new rural cooperative medical reimbursement, it lowed to14households, the difference between them was statistically significant (p<0.05), the catastrophic health expenditure is obviously less than that before the NCMS reimbursement, it can effectively offered that the new rural cooperative medical reimbursement has good for family catastrophic health expenditure risk. The new rural cooperative medical reimbursement and poverty are respectively19and11households, the difference was no statistically significant (p>0.05), the new rural cooperative medical system for poverty family due to illness were limited. Influence factors of catastrophic health expenditure was the average annual household income. Influence factors of poverty was the family have chronic disease patients.Overall evaluation of participating families on the new rural cooperative medical system is higher, but the specific implementation details of the new rural cooperative medical system in the awareness rate is low, the NCMS can effectively alleviate the family catastrophic health expenditure risk, but for poverty family due to illness were limited.CONCLUSION The overall evaluation of family to the new rural cooperative medical scheme and is good, but the accounting for the masses of the new rural cooperative medical scheme awareness is low, the new rural cooperative medical scheme can reduce the risk of household catastrophic health payment, but to ease the household impoverishment due to health payment or limited role.