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Zhejiang rural medical security fund management research

Author: ZhouFen
Tutor: ChenZhouWang
School: Fudan University
Course: MPA
Keywords: The new rural cooperative medical care Fund Management
CLC: R197.1
Type: Master's thesis
Year: 2009
Downloads: 124
Quote: 2
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Abstract


The new rural cooperative medical countries in the case of limited economic strength, while the use of a health protection system in order to solve the health problems of farmers. 2003, the new rural cooperative medical care in Zhejiang Province on a pilot basis to promote, has been more than six years, experience has shown that the tube is to protect the cooperative medical system in the development and consolidation of good cooperative medical fund. Various fields are concerned about a common problem, namely how the new rural cooperative medical fund safe, healthy, sustainable operation. Rural Medical Security Fund specification, the effective management of government decision-making urgent need to address an important issue, it has to accelerate the accumulation of substantial funds; provide an effective way to fund investment operations; alleviate the financial burden of farmers, active capital market, promote economic development; maintain social stability and promote social development, and to reduce the differences between urban and rural areas, the practical significance of building a harmonious society. The problems of the new rural cooperative medical fund management has become a hot research topic in the field of public health, rural development, policy research, management science, economics, this paper, using the method in the literature, questionnaires, case analysis, and data analysis and other methods, through the questionnaire, data support, analysis of supply, demand, rural medical security willingness of health resources in rural areas in Zhejiang Province, pointed out that the current economic reasons medical services in rural areas as a result of lack of effective demand, each level capabilities and the status quo of the medical and health institutions will be the development of new rural cooperative medical reimbursement level, Satisfied by the influencing factors. In the development of a new type of rural cooperative medical care funding levels must also take full account of the effective demand around the different levels of economic development and constraints of medical services to achieve the main way. In the new rural cooperative medical fund management must pay attention to the status and role of farmers in the new cooperative medical care system of fund management, give full play to the initiative and enthusiasm of farmers. , Zhejiang Province, the new rural cooperative medical fund the operation of analysis, pointing out that in the new rural cooperative medical fund raising, the unfairness of the funding policy of compensation, balances and income memory; government funding responsibility for defects; financing order led to funding difficulties; compensation the flow of funds and insecurity, rural location for medical treatment not match; satisfied by defects caused by supplier-induced demand; cumbersome reimbursement process; excessive fund balances generated secondary compensation and fund investment channels, increasing the value of difficulties. Theoretical framework to support the adverse selection and moral hazard in the new rural cooperative medical fund management, the central government should take more responsibility in the cooperative medical care financing, incentives to solve the problem of adverse selection and funding continuity, the establishment of dynamic growth mechanism of financing, an appropriate increase in the level of the individual farmer financing, financing for scientific development of standards, the development of the role of social capital in the new rural cooperative medical reform - single pay reimbursement model, to take a single disease prospective payment and other reimbursement mode, The use of assessment and effective means of timely adjustment of the compensation scheme to maximize the benefit and compensation level farmers, diversified fund investment tools and policy recommendations, which will help the new rural cooperative medical fund higher safe, efficient operation.

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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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