| ObjectivesThe main purpose of this study was to explore the operation situation of new rural co-operative medical system(NCMS) in Jilin Province from 2007 to 2014, evaluated the present situation and existing problems of NCMS in Jilin Province after the complete coverage, provided a scientific reference for sustainable development of NCMS and a certain help for medical system reform in Jilin Province. MethodsThe present situation of NCMS in Jilin Province from 2007 to 2014 was selected for this research scope. Relevant data were extracted from information database of NCMS. EXCEL 2010 was used to collect data and set up database. SPSS 13.0, EXCEL 2010 were used for data analysis. Descriptive statistical analysis was the main method for this study. ResultsParticipation situation of NCMS: The complete coverage of NCMS in Jilin Province was achieved in 2007. The coverage rate was risen from 9.1% to 100.0%, participation rate was risen from 82.1% to 99.4% in 2007-2012, and the rate was reduced to 94.3% in 2014. Participation rate in Tonghua(100.0%) district was the highest in Jilin Province, and the rate in Yanbian(95.9%) district was the lowest.Financing situation of NCMS: The total amount of raised capital was 5177 million yuan, up 300 million yuan over 2013, and it had raised 7.7 times than 2007(596 million yuan). During 2007-2014, financing of central fiscal subsidy, local fiscal subsidy and individual premium collection increased greatly, a negative increasing appeared for the first time in local fiscal subsidies in 2014, 72 million yuan less than in 2013. Central fiscal subsidy was the most proportion of all financing mechanisms, followed by local fiscal subsidy, individual premium collection was the lowest, in addition, a small part of interest and other funds were also included. The proportion of individual premium collection increased year by year from 2012, it increased from 13.0% to 22.7% in 2011-2014. Funding criteria steadily increased from 50 yuan to 390 yuan per capita in 2007-2014.Capital usages situation of NCMS: Family account was replaced by pooling funds in 2009. Total expenditure, outpatient expenditure, hospitalization expenditure and chronic diseases, twice compensation and medical examination expenditure all showed an increasing trend, hospitalization expenditure was the highest ratio(88.38%). The lowest capital management efficiency was 70.7% in 2009, and the highest balance was 498 million yuan in 2013.Compensation situation of NCMS: The outpatient rate rose at first and then went down, the highest rate was 47.6% in 2009, it was 29.0% in 2014. The hospitalization rate increased from 4.1% to 10.7% in 2007-2014. The outpatient subsidy proportion was lowest in 2011(25.8%), and highest in 2014(54.4%). The hospitalization subsidy proportion was highest in 2012(52.5%), and it was 48.2% in 2014.Agencies of NCMS:The results in 2013 showed that, there were 67 agencies and 594 staffs of NCMS in Jilin Province, an average of 23 thousands insured person were managed by a staff. ConclusionThe complete coverage of NCMS in Jilin Province was achieved in 2007, the insured ratedeveloped to a relatively high standard. The total amount of raised capital increased unceasingly, central fiscal subsidy was the most proportion of all financing mechanisms, the proportion of individual premium collection increased year by year from 2012, and funding criteria steadily increased.It was a good way for funding mechanisms of NCMS that the insured paid premium depending on income in proportion. Expenditure showed an increasing trend, hospitalization expenditure was the highest ratio, how to programme and use funds would be the most important work in fund management of NCMS. The outpatient rate rose at first and then went down, and the hospitalization rate increased unceasingly. Western regions in Jilin Province developed relative slowly, it was great significance to pay more attention on western regions for NCMS. Thestaff of NCMSagencieswasinsufficient, it had a great difference in in different regions or areas in a same region. The scientific disposition of staffs was the effective measure for improving work efficiency of NCMS. |
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