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Function Research of Local Government in the New Rural Cooperative Medical System

Author: LiuSi
Tutor: WangZuo
School: Zhejiang Normal University
Course: Administration
Keywords: Service-oriented government Public goods The new rural cooperative medical system Protection equalization Moral hazard Adverse selection
CLC: R197.1
Type: Master's thesis
Year: 2011
Downloads: 64
Quote: 0
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Abstract


Samuelson defined in the pure theory of public expenditure \reduced. Service-oriented government is the orientation of our government was built, its main function is to provide public goods and public services. The Government of the rural medical security strategic supply of public goods quality and efficiency of a direct impact on national treatment of the equalization of urban and rural protection construction and rural residents. The new rural cooperative medical system (referred to in the following part of the new rural cooperative), that is, under the guidance of the government, farmers take voluntary funding, collective support, central government and local government funding with Huzhugongji nature of rural medical security system. The new rural cooperative medical care system is relatively traditional rural cooperative medical system. Along with the socio-economic system reform instead of material costs, labor costs to meet lost the original rigid protection cooperative medical supply mode, the disintegration of the collective economy and the people's ideological shift of rural public health security undertakings system model development. This thesis is divided into five parts, the basic framework of the internal logic: the first part is an introduction, first of all, I pointed out that the provision of public goods and public services are the main functions of the service-oriented government. The Government should ensure that the equalization of supply for urban and rural medical security. Went on to highlight the role of local government in the rural medical security. The three main features of the new rural cooperative medical system. Learn from the advanced experience and theoretical research, the new rural cooperative medical system to conduct a feasibility analysis. The second part and the third part of the empirical level, the specific case of the functions of the local government in China, I Dandong City, the new rural cooperative medical care system to carry out as the object of study, investigation Rural Health Resources in Dandong City, the new rural cooperative medical system fulfillment, and the Government of the new rural cooperative medical supervision obtained the results achieved since the implementation of the new rural cooperative medical care system, but also on its operation there is the problem of institutional arrangements, from the level of the specific facts of the investigation and analysis of reality in the role of local government and its functions. The fourth part is the problems in the new rural cooperative theoretical analysis, the new rural cooperative medical insurance nature of rural public product attributes explained from the theory of public goods perspective, analysis of the mechanism of supply and demand imbalances in supply and main supply dislocation and other problems. Pointed out that the new rural cooperative medical system in the \The fifth part is the local government in the new rural cooperative Countermeasures in both ideal and reality, theory and empirical thinking dimension level, combined with the analysis of specific issues, I pointed out that the top-down policy-making mechanisms leading to inertial tilt government policies and financial supply to the city, the urban and rural public goods supply serious imbalance in the bottom-up expression mechanism should be established to make up for the lack of public choice mechanisms. Local governments should be three aspects of financial security, regulatory mechanisms, the new rural cooperative public health security system to fulfill the functions of the government. The author references Savas theory, producers and arrangements in the public service system in addition to the outside of the consumer really two types of roles. That local governments should do a good job in the new rural cooperative producers and institutional arrangements for the role of public goods supply system to build a new type of rural three-tier public health service system, the identity of the producer, to arrange the identity of all levels of health services The institutional reform of the administrative system. The transformation of the county hospital as the center of three public health service system should be based on the construction of the key specialties to promote the overall development of the hospital. Finally, to break the urban-rural dual variation and improving the level of equalization of basic health care services.

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CLC: > Medicine, health > Preventive Medicine,Health > Health care organizations and career ( Health Management ) > Health care systems and institutions > Health care system
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