Empirical Analysis on Hospitalization and Compensation Situation of Rural Participants in a County of Hunan from 2010 to 2012

doi:10.7664/CHE20140509

Abstract：Objective: According to the actual situation and the faced problems, it provides references for the adjustment of New Rural Cooperative Medical System(NRCMS). Methods: The site survey was used to collect data, the method of statistical analysis was applied to describe and analyze the data. Results: The County’s participation rate of NRCMS had been 99.2% in 2012. The number of inpatients was increasing gradually; the average of stay remained steadily , the average hospitalization cost increased obviously. The out of pocket(OOP) expenditure had increased year by year. The rate of OOP expenditure to net income had no significant decline. The proportion of compensation for various medical institutions had increased. The former ten diseases had never changed in the past 3 years , with pulmonary infection in the first place. Conclusion: The NRCMS had basically achieved full coverage of agricultural population. However it still needs to adjust policies to lower the rate of OOP expenditure to net income. In addition , it needs to implement classification compensation for minor illness, as well as expanding the reimbursement range of the NRCMS, to optimize the efficiency of coordination for minor illnesses, and maximize the use of the advantages of primary health care institutions. In a word, the policymakers need to improve the NRCMS from multi-pronged approaches in order to effectively improve the level of benefit for farmers and implement the policy of NRCMS.