The Research Of "Aged Care Zone" Medicare Care Pattern In Guangzhou

According to the latest data, Guangzhou has stepped into a moderate aging society. Guangzhou medical services at all levels are not being able to take responsibility for taking care of disabled elderly people. The pay per bed day payment mode made by Guangzhou medical insurance department can’t fully meet the needs of senior citizens who have medical insurance, which fails to help the distribution of resources and the development of designated medical institutions. In order to improve the medical services of disabled elderly people, a new medical insurance mode called the “aged care zone" in Guangzhou is under test. This study, which has launched the data assessment and questionnaire survey of the new mode, tries to provide reference and basis for the adjustment and development of medical insurance mode of the disabled elderly people. The core components of this study are as follows: whether this mode is suitable for Guangzhou, how to evaluate its affection for the insured people, the designated medical institutions and the medical insurance fund, how to improve them.. Six chapters are contained:The first chapter is an introduction, mainly illustrating the research background, its theoretical value and practical significance, and reviewing the domestic and foreign literatures to explain the research method, logic framework of this paper and the innovation possibilities.The second gives the creation background and characteristics of Guangzhou’s “aged care zone" health care model. To provide a base for this research, I have analyzed the Guangzhou’s aging demographic data, made an elaboration of the senior citizens’ hospital treatment, the commonly used method of payment and the existing problems, and then further analyzed the innovation characteristics of the "aged care zone" medical insurance mode.The third chapter discusses what lessons can be drawn from the aged care security models of foreign countries. One comparative analysis is given on the similarities and advantages among four kinds of aged care security models of Germany, Japan, the United States and Qingdao. With the combination of China’s national conditions, it is proposed that one long-term care insurance system with legal care insurance should be the main insurance, and the commercial care insurance as the supplement.The fourth chapter elaborates the meaning and the novel features of the "aged care zone" medicare care pattern and the definition of this concept.The fifth chapter analyses the developing achievements of Guangzhou’s “aged care zone" health care model. Through questionnaires and interviews, 241 doctors and patients have offered their views about Guangzhou’s elderly medical care security. Besides, existing problems are taken into account. For better balancing the tripartite interest from payment, one comparative analysis of 30 community medical institutions’ hospitalization expenses is given with one further analysis of the effects of "the general settlement", "the average cost of daily bed limit" and the "aged care zone" medical insurance model to the designated medical institutions, the medical insurance fund and the insured senior citizens.Thanks to the analysis of the above chapters, the sixth chapter brings forward the optimized improvement countermeasures of Guangzhou’s "aged care zone" health care model, and indicates that the key is to further optimize the method of payment in the process of establishment and development, at the same time, to strengthen the rationality of the monitoring cost, and to promote the fund effective use; and the coordination of government public health, social security and civil affairs departments should be emphasized in order to concert their efforts, improve the medical services package with one treatment path standardization as well as the use of information platform, so that information using generalization and functional diversification will be achieved.In the end, the research conclusion is summarized and refined, including the conclusions of study and research and its insufficiencies.