The equality of financing and compensation of New Rural Cooperative Medical Scheme：An empirical analysis in an eastern province in China
10.3969/j.issn.1674-2982.2014.06.006
- VernacularTitle:新型农村合作医疗筹资与补偿均等化--基于东部X省的实证分析
- Author:
Xiaohe WANG
;
Yu QIAN
;
Xianhong HUANG
;
Meng ZHANG
;
Liang ZHANG
- Publication Type:Journal Article
- Keywords:
Province-controlled county finance system;
Different economic regions;
New Rural Cooperative Medical Scheme;
Equality
- From:
Chinese Journal of Health Policy
2014;(6):28-34
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyse the degree of equality of New Rural Cooperative Medical Scheme (NRCMS) in different economic regions. We provide a reference for equal development of the NRCMS and the reform of the political system and mechanism under the provincial-controlled county fiscal system. Methods:A typical province was chosen with provincial-controlled county fiscal system was fully implemented several years. We collected data on coverage, financing and compensation for the NRCMS from 2005 to 2011. We used the variable coefficient, uniformity coefficient, Theil Index for comprehensive evaluation. Results:Per capita financing has not reached the bottom line. From 2005 to 2011, inter-re-gional and intra-regional variation coefficient, Theil index of service coverage, financing level and hospital actual compen-sation has declined year by year. The degree of inequality in economically developed regions was greater than in less eco-nomically developed regions and economic medium region. Conclusion:The degree of equalization of the NRCMS in the province continuously improved. Innovation of provincial-controlled county fiscal system and mechanism provides a favora-ble environment and forming conditions for equalizing the development of the NRCMS. The paper suggested exploring and building fiscal classification step transfer payment institution and dynamic prediction model of the NRCMS, further optimi-zing financing mechanism, promoting the provincial management system of the NRCMS as soon as possible in order to pro-mote the equalization development.
