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China's new rural cooperative medical system in Sustainable Development

Author: FuLiYing
Tutor: YuanJianHua
School: Shandong Agricultural University
Course: Agricultural Extension
Keywords: The new rural cooperative medical care system Sustainable Development Urban-rural integration
CLC: R197.1
Type: Master's thesis
Year: 2009
Downloads: 449
Quote: 3
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Abstract


Law of social development around the world prove that humans need structure consists of basic necessities of life need to upgrade basic health and feel happy and subjective well-being. This means that the government health policies should put more important and more fundamental strategic position on health issues will be placed in priority areas. It is gratifying that, we can see that the Chinese government in recent years to solve the medical problems of farmers made institutional exploration and efforts, the relevant provisions have been introduced, the new rural cooperative medical system design more reasonable, government investment gradually increasing, management and supervision have been strengthened. Ministry of Health, Ministry of Agriculture Wei Wei Fa [2008] No. 17 \work should intensify its efforts to achieve full coverage. As of the end of 2008, there are 2,729 counties (cities, districts) to carry out the new rural cooperative medical work, the new rural cooperative medical participation rate reached 91.5%. The new rural cooperative medical fund accumulated expenditures amounted to 42.9 billion yuan, the cumulative benefit 370 million people. Annual urban medical assistance 5,130,000 passengers, an increase of 16.0% over the previous year. Rural medical aid 9,360,000 passengers, an increase of 148.0% [1]. China's rural cooperative medical history experienced several ups and downs, there are more lessons from experiences in the development of cooperative medical heyday indeed brought tangible benefits to farmers, new rural cooperative medical care from the pilot began to gradually extended, comprehensive coverage of the policy objective is to correct , the system of the pilot phase of the situation is better. However, the new rural cooperative medical care system will not repeat past mistakes and the ups and downs, good policy can benefit sustainable development? New rural cooperative medical system in existence need to be perfected? Development goal of this system eventually landed there ? This is the concern of all the people, but also the focus of this study. This paper attempts to apply sustainable development theory to analyze the current operation of the new rural cooperative medical problems and their solutions. First, comb through the rise and fall of rural cooperative medical history, analyze its flourishing and decline of objective historical reasons, and try to apply sustainable development theory to explain the new rural cooperative medical system in the meaning of sustainable development: the new rural cooperative medical system for sustainable development that should improve the new rural cooperative medical system to implement mechanisms to realize what kind of new rural cooperative medical system in the long-term, stable and continuous operation in order to make the rural cooperative medical care to the urban and rural social security smooth transition, to achieve equitable access to health care of all citizens guaranteed rights. This paper points out the current environment impact of new rural cooperative medical system sustainable institutional flaws are: relevant laws and regulations, \; the new rural cooperative medical system in the nature of the position is not clear, did not realize from the \two aspects are present, financing risks is the new rural cooperative medical system the biggest obstacle to sustainable development. Furthermore lacunae of serious co-ordination is also reflected in the principles of unfair, voluntary principle drawbacks bring adverse selection, mode of operation is not uniform over the negative impact of rural medical assistance system as well as with the lack of effective convergence and so on. Impact of new rural cooperative medical system, there are still run sustainability of resistance, this resistance from the participation of farmers, the government institutions and designated medical institutions. In order to resolve the new rural cooperative medical care system defects and operation of resistance by analyzing four different types of national health insurance system and compare their advantages and disadvantages in order to draw benefit of the new rural cooperative medical system in sustainable ingredients. Finally, the analysis of the aforementioned vertical and horizontal comparison, this paper puts forward the new type of rural cooperative medical care system sustainable recent measures mainly: to establish a reasonable funding mechanism, strengthen the government's responsibility, rational planning compensation mechanism and so on. In the new rural cooperative medical system in the long-term sustainable development optimization suggestions raised: should expeditiously formulate and promulgate the National Health Security Act, and the new rural cooperative medical care system toward legalized. Finally break our urban and rural health care system of urban and rural social integration, social, legalization of medical social security system.

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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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