Social survey report is for a situation in social life, an event, a problem, in-depth and detailed investigation and research, and then the investigation and research from the situation of the real expression to reflect the problem, expose the contradiction, reveal the law of the development of things, provide people with the lessons learned and ways to improve, for the relevant departments to provide the basis for decision-making, scientific research and teaching departments to provide research data and social information, written reports. The written report of scientific research and teaching departments to provide research data and social information. Medical insurance is one of the most concerned about the people's livelihood hotspots, the investigation team to use the winter vacation time to carry out related investigations, the following Aiyan education I bring you a social survey report on rural medical insurance sample, welcome to read and study.
During the winter vacation, I looked up a lot of information about the new rural cooperative medical insurance on the Internet. Understand that our country in recent years about the farmers security system made some achievements I decided to use the winter vacation on my rural cooperative medical care status quo to conduct a simple investigation. I simply did a new rural cooperative medical mass questionnaire, access to the knowledge about the new rural cooperative, analyzed the main views of farmers on medical security. Overall understanding of the following:
First, about the new rural cooperative medical
The new rural cooperative medical, referred to as the "New Rural Cooperative", refers to the government organization, guidance, support, farmers voluntarily participate in the individual, the collective and the government's multi-party financing, to the major illnesses, mainly in farmers' medical care co-ordination system of mutual **** relief. Adopting individual contributions, collective support and government funding to raise funds.
The new rural cooperative medical care is created by the farmers themselves, mutual ****ji medical insurance system, in the protection of farmers access to basic health services, to alleviate the farmers due to illness and poverty and return to poverty due to illness has played an important role. It provides a model for problems that are common to countries around the world, especially developing countries, and has not only been welcomed by the peasantry at home, but has also been well received internationally. The new rural cooperative medical care system has been piloted in some counties (cities) throughout the country since XX, and is expected to gradually achieve basic coverage of rural residents nationwide by 2010. According to ******, the State Council and the provincial government on the establishment of a new type of rural cooperative medical system of the implementation of the views of the relevant spirit, farmers of major diseases co-ordination work renamed the new rural cooperative medical system, the new rural cooperative medical implementation of individual contributions, collective support and government funding combined financing mechanism, the financing standard can not be less than 30 yuan / person, of which the county financial subsidies of 10 yuan, township financial subsidies of 5 yuan, the farmers financing 15 yuan. Farmer financing 15 yuan. Summarized is to raise funding, government subsidies, farmers benefit from a large surface, for farmers suffering from serious illnesses to establish a guarantee, the maximum amount of payment to XX0 yuan.
Second, the significance of the construction of the new rural cooperative
After more than two decades of reform and opening up, China's rural areas have undergone great changes, the economy has made great strides, however, the economic development has not given farmers in the problem of access to health care to bring too much benefit. China's population accounts for 22% of the world's population, but its health care resources account for only 2% of the world's resources. Of this 2% of medical resources, 80% are concentrated in cities. From 1998 to XX, the average annual growth rate of per capita income of farmers was 2.48%, but the average annual growth rate of health care expenditure was 11.48%, and the growth rate of the latter was nearly five times that of the former. According to relevant media reports, so far half of the peasants in rural China cannot afford to see a doctor for financial reasons. In economically developed areas like Guangdong, 40.08 per cent of the people have not sought medical treatment for their illnesses, and 23.35 per cent should be hospitalized but are not. In addition, the coverage of China's social security is still very narrow, and is insufficient to address the farmers' "worries". In the vast majority of rural areas, the social security system is basically in the "blank zone". Disease, like a sword hanging over the heads of farmers, "difficult to see a doctor, see a doctor is expensive" is currently a relatively common phenomenon in rural China. "During the Eleventh Five-Year Plan period, China's economic and social transformation process will be further intensified, and in order to enable this transformation to progress smoothly, society as a whole needs to build a tight and reliable safety net. Therefore, the farmers' health care problem has gone far beyond the problem itself, to solve the farmers' difficulties in access to health care, not only to respect the farmers' minimum right to life, but also to build a fair, just and harmonious society is an inevitable requirement. How to solve the farmers' difficulties in seeing a doctor? Looking back at history, we have solved this problem before, and under very difficult conditions. 1993 World Bank annual development report "Investment and Health" pointed out that: "Until recently, (China) has been an important exception to the low-income countries ...... By the end of the 1970s, the Health insurance covered virtually all the urban population and 85 percent of the rural population, an achievement unparalleled in low-income developing countries." In the early 1980s, when the rural population was still 80% of the country's population, the country's life expectancy rose to 68 years from 36 years at the beginning of the new China. Experts recognize that this health performance was based on a broad pattern of resource allocation that "puts the focus of medical and health care work in rural areas," supplemented by a three-tier network of public *** health and medical services in counties and villages, native "barefoot doctors" in every rural community, and cooperative medical care. "and the cooperative medical care system are three major assets. Therefore, the strengthening of rural health work, the development of rural cooperative medical care, is a new period of time to build a new countryside in the title of the meaning, is very necessary.
Third, the historical drawbacks
Due to the constraints of economic conditions, in rural areas, "small illnesses suffer, big illnesses dragged, serious illnesses only to the hospital to carry the" situation is commonplace, and at present due to the phenomenon of poverty due to the seriousness of the phenomenon of returning to poverty, the rural areas need to be hospitalized and did not live in the people reached 41%; the western part of the poor due to the disease amounted to 300-5 million people. The number of people in western China who are poor due to illness has reached 300-5 million. Seventy percent of rural poor households are due to illness. Since 1985, although rural residents' incomes have also been rising, the rate of increase has been significantly smaller than that of urban residents. Excluding price factors, rural residents' incomes grew at an average annual rate of 3.1 percent in real terms from 1985 to 1993, while urban residents' incomes grew at an average annual rate of 4.5 percent in real terms during the same period, and GDP grew at a rate of 9 percent annually. after 1988, the growth of real incomes for rural residents basically stagnated, and from 1989 to 1993 From 1989 to 1993, the average annual real growth of rural residents' income was only 1.4 percent. However, at the same time, the medical expenditure of the farmers has risen sharply. In anhui province, for example, in the first three quarters of xx, rural per capita medical expenditure of 42.82 yuan, compared with 37.69 yuan in the same period of the previous year, up 13.6%; of which 19 yuan per capita expenditure on medical and health care, has been close to the previous year's per capita annual expenditure of 20.2 yuan. 1990 per capita annual expenditure of 14.41 yuan on compression therapy, the highest in history of 1998 for 52.11 yuan in 1999, 51.65 yuan, 10 years of growth. 51.65 yuan, an increase of 2.52 times in 10 years, while the increase in farmers' net income was only 2.52 times in 10 years. Moreover, in the national security system, peasants are excluded from the security system. Rural social security has always been on the periphery of the country's social security system, and a significant portion of the social security content excludes the entire rural population from the system. The level of economic development in China's rural areas is still very low, and most rural residents have low incomes and weak affordability; compared with the progress of social insurance reform in towns and cities, social insurance in rural areas is only limited to the pilot stage in some affluent areas, and family security is still the mainstay of social security in rural areas. In the case of medical insurance, for example, the biggest reason why China's current medical insurance reform is different from that of developed countries is that it is not a universal health insurance scheme, but only a reform of medical insurance for urban workers, which is currently aimed at solving the problem of the excessive burden of publicly funded medical care and guaranteeing basic medical services. And although the rural cooperative medical system was once widely practiced in rural areas, it has gone through several twists and turns and eventually disintegrated for various reasons.
Fourth, some problems in the implementation:
1, low social satisfaction
The most basic and important point in social insurance lies in that it emphasizes not the equality of individual cost-benefit, but the social satisfaction of the premium [7]. The new rural cooperative medical care as a kind of social insurance, the satisfaction of the beneficiary farmers and the taxpayers who are the source of government subsidized funds plays a pivotal role in its success or failure. The survey found that some farmers do not participate in the new rural cooperative medical care mainly based on the low level of protection of the new rural cooperative medical care, farmers do not understand y, afraid of changes in the policy, and think that it is to take their own premiums to compensate for other people and other considerations. Farmers who participate in the new rural cooperative medical care are dissatisfied mainly because of the low level of protection and the cumbersome procedures for participation and claims. In addition, the policy is unfair, resulting in low social satisfaction with the new rural cooperative medical system.
2, the barrier level is low
The new rural cooperative medical system is to coordinate the major illnesses and minor illnesses claims based on farmers' medical mutual **** relief system. This definition shows that the new rural cooperative medical system is to aid farmers in the medical expenses of the disease and outpatient, bruises, etc. are not covered by the insurance, the provisions of this makes the actual benefit of the farmers is not as large as expected.
3, the type of rural cooperative medical propaganda is not in place
Existing publicity focused on the introduction of the new rural cooperative medical care to the farmers on the surface of the benefits, not to build up the awareness of the risk of farmers, but also does not reflect the focus of the farmers who do not participate in the survey, so that most of the publicity stays in the form. Many farmers do not really understand the significance of the new rural cooperative medical care system, and they only consider it from the perspective of their short-term gains and losses. Since they are in good health and have a low probability of getting sick and being hospitalized, there is no need to spend that wasted money. Some farmers also think that it is just like the previous compulsory education deposit, which was eventually cheated by the government, and they think that they have taken their insurance money to compensate others. The publicity also did not send the specific claims criteria to the farmers, making them in the claims, see so many drug costs can not claim some farmers have been deceived by the feeling of being duped.
4, type of rural cooperative medical system registration, claims procedures are too cumbersome
First, to participate in the new rural cooperative medical registration procedures are cumbersome. Secondly, the claims procedure of the rural cooperative medical care is also very cumbersome. The urban residents of the medical insurance can be used to mortgage part of the medical expenses, can be directly on the card to pay the medical bills, and then come back to settle the bill. Foreign medical insurance even allows hospitals and doctors to have a direct relationship of interest with the insurance company rather than the patient. Some of the new rural cooperative medical care is to farmers first advance, so that if some farmers can not borrow money or can not afford to see a doctor, and then holding the relevant procedures to the cooperative medical reporting center to declare, and finally to go to the credit union to collect money. Some villages are far away from the reporting centers and credit unions, and the round-trip fare is expensive. The cumbersome registration and claims process adds a lot of trouble for farmers and reduces their satisfaction.
All of the above are some of the practical problems I have learned from my work and surveys after reading a lot of relevant information. Some of the views on this national health care system. In this summer practice work at the same time I was y impressed by our country's attention to the three rural areas. In recent years, the state has step by step exempted agricultural tax, tuition fees, and now in the new rural cooperative medical care and a series of policies to benefit the people. The nurse at the health center said that many kinds of vaccines are now free for children. By the way, one of the drawbacks I've noticed at work is that the paper forms that the doctors bring to me to enter into the computer are all very complicated, with multiple copies. I think that since they are already saved in the computer, they don't need to waste a lot of paper to make a quadruple slip, but a single slip will do. This is also very annoying to the doctor, after all, in the benefit of the people at the same time we have to pay attention to environmental protection.