Research For The Problems In The Implementation Of The New Rural Cooperative Medical System

Life and health rights are regarded as the fundamental rights of peasants. After 1980s, the self-Medicare mode is the dominant one in the peasants’Medicare system, while the governmental support in this area seemed to be vacuum zone. The new rural cooperative medical system has been made experiments since 2003 and promoted comprehensively in 2007. Since then, this system benefits peasants widespread in our country. In the meantime, it obtains sustained attention from the whole society and is deeply researched by numerous scholars from different territories and various academic viewpoints.The major research object of this article is the problems yielded in the process of carrying out the new rural cooperative medical system. On the one hand, it is capable of helping us to grasp the real executing situation of the new rural cooperative medical system, which can assist us pay attention to the executing problems of this policy from the views of special people among farmers and medical faculties rather than make us conform in the burst of applause. Not only do we concern evaluation from peasants and analyze the factors affecting the degree of farmers’satisfaction to this policy, but also do we pay attention to the development of the primary-level medical faculties. On the other hand, the new rural cooperative medical system is changing along with the continuous reform, and different areas have different executing situations of this policy because of diverse social developing conditions. It is benefit of concerning the policy via vision of development through the research to the new rural cooperative medical system.This paper is divided to seven sections, and the emphasis points are mainly demonstrated in the three to seven sections.The introduction section briefly resolves the problem-posing process and the core concepts, evaluates and comments recent research achievements involving this policy, defines the research method and structure, fixes the research train of thought and the framework, analyzes the research objects, innovations and flaws.The second section is the basis of the research theories. Specifically to say, Smith Model favors to analyze the factors influencing the executing the new rural cooperative medical system. Interactive Model is brought to analyze the profound reasons of influencing the executing this policy caused by the interaction among the factors. Decision-making Participation Model, New Institutional Economics and Incentive theory promotes to explain the problems encountered in the policy executing process.The third section describes the new rural cooperative medical system executing process. The concerning objects include policy-execution agencies, farmers, medical service institutions and oversight mechanisms of the new rural cooperative medical system, all of which are selected based on the relevant policy-execution theories.The forth section shows the questionnaire of peasants’ satisfaction to the new rural cooperative medical system and the results analysis. The questionnaire is designed based on the writer’s previous investigation involving the new rural cooperative medical system among farmers in rural areas and in order to analyze the execution effects of the new rural cooperative medical system. Then the data is analyzed via SPSS 16.0 and to confirm the influence factors of peasants’satisfaction.The fifth section is the new rural cooperative medical system interview surveys and results analysis. This part compiles large quantity of interview survey cases, and the intensive analysis. The profound problems of the new rural cooperative medical system are able to be comprehended through these detailed and realistic cases analysis.The sixth section is the genesis analysis of the policy-execution process. This part merges theory and practice. The genesis is analyzed intensively by using the occupancy model, medical resources, medical burden and combining the New Institutional Economics and Incentive relevant theories.The seventh section is the optimization of the new rural cooperative medical system, which aims to explore the reform pattern of the new rural cooperative medical system. Obviously, the reform pattern cannot be monotonous. This optimization is posed based on the problems encountering in the previous research.