New Rural Cooperative Medical Insurance Research Report (Selected 3)
As the civilization of individuals continue to improve, the use of reports grows more and more, we have to avoid excessive length when writing reports. I believe that many people will find the report is difficult to write it, the following is my compilation of the new rural cooperative medical insurance research report (selected 3), for reference only, let's take a look at it.
New Rural Cooperative Medical Insurance Research Report 1
During the winter vacation, I tuned into 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 carry out 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 to organize, guide, support, farmers voluntarily participate in the individual, the collective and the government of the multi-party financing, in order to coordinate the medical care of farmers, mainly in the case of major illnesses. The main farmers' medical care mutual **** relief system. Take individual contributions, collective support and government funding to raise funds.
The new type of rural cooperative medical care is created by our farmers themselves, mutual ****ji medical security system, in the protection of farmers access to basic health services, to alleviate the farmers due to 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 peasant masses domestically, 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 throughout the country by XX. According to the central government, the state council and the provincial government on the establishment of a new type of rural cooperative medical system of the implementation of the relevant spirit of the opinions, farmers of major diseases co-ordination work renamed the new type of rural cooperative medical system, the new type of rural cooperative medical care 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 subsidy of 10 yuan, the township financial subsidy of 5 yuan. Farmer financing 15 yuan. Summarized is to raise the financing, government subsidies, farmers benefit from a large surface, for farmers suffering from serious illnesses to establish a guarantee, the maximum amount of payment to 200 yuan.
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 the 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 a relatively common phenomenon in rural China. During the "xx" period, China's economic and social transformation process will be further intensified, in order to make this transformation can be smoothly promoted, the whole society needs to build a tight and reliable safety net. Therefore, the farmers' medical and health problems have gone far beyond the problem itself, to solve the farmers' difficulties in access to medical care is not only a matter of respecting the farmers' minimum right to survival, but also an inevitable requirement for building a fair and just harmonious society. 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 subject of due meaning, is very necessary.
Three historical drawbacks
Due to economic constraints, in the rural areas, "small illnesses, big illnesses dragged, serious illnesses only to the hospital to carry the" situation is commonplace, and the current phenomenon of returning to the poverty phenomenon is serious because of the disease, the rural areas need to be hospitalized and did not live in the people to reach 41%; the western part of the poverty caused by 300% of the people to live in the hospital. In the western part of the country, 3-5 million people are impoverished because of illness. Seventy percent of rural poor households are due to illness. Since 1985, although rural residents' incomes have also been increasing, 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 the annual rate of GDP growth was 9 percent. after 1988, real income growth for rural residents basically stagnated, and from 1990 to 1993 From 1990 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 in 1998 the highest in history for 52.11 yuan in 1999, 51.65 yuan, increased during the XX years, the average medical expenditure was only 1.4%. 51.65 yuan, an increase of 2.52 times in XX years, while the growth of farmers' net income in XX years was only 2.52 times. Moreover, peasants have been excluded from the national security system. Rural social security has always been on the periphery of China's social security system, and a considerable part of the content of social security excludes the entire rural population from the security 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 the countryside, it has gone through several twists and turns and eventually disintegrated for various reasons.
Four, the implementation of some of the problems
1, low social satisfaction
The most basic and important point of social insurance lies in that it emphasizes not the equality of individual cost benefits, but the social satisfaction of the insurance benefits. The new rural cooperative medical care as a kind of social insurance, the beneficiary farmers and the government subsidized funding source of the taxpayer's satisfaction on its success or not has a pivotal role. 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 it well, fear of policy changes, and think that it is to take their own premiums to compensate 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 of the new rural cooperative medical system.
2, the low level of protection
The new rural cooperative medical system is based on the coordination of major illnesses and claims for minor illnesses as the main farmers' medical mutual **** relief system. This definition shows that the new rural cooperative medical system is to aid farmers in the medical costs of 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 new rural cooperative medical propaganda is not in place
Existing publicity more focused on the introduction of the new rural cooperative medical care to the farmers to bring the surface of the benefits of the farmers, did not set up a farmer's awareness of the risks, 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, the new rural cooperative medical system of 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 receive 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 doctors, after all, in the benefit of the people at the same time we should pay attention to environmental protection.
New Rural Cooperative Medical Insurance Research Report 2 First, the survey time: July 20, 20xx --- August 25, 20xx Second, the investigator ： xxx, xx Third, Liangcheng Village, the basic information of the village. strong> Third, Liangcheng village basic information: 1, the village situation: Liangcheng village jurisdiction over nine squads, a total area of 3200 acres, a total of 2200 acres of arable land, per capita cultivated land of 2 acres, of which the rice area of 1,100 acres, 1100 acres of dryland area, 2, the demographic situation: the population of the village of more than 2,040 people, agricultural population More than 1500 people. 3, the economic situation: the village's economic development is located in the office of the upper middle level, all agricultural areas. 4, the village **** 4 cadres, annual personal salary of 8000 to 10000 yuan, the village has a clinic, a library house, the village has a fixed office space. Fourth, the research background and content of the research I am also from the rural poor families out, so I have a deep understanding of the peasant patients "difficult to see the doctor" problem, so when I became a college student, I am more concerned about this issue, and put him into my research topic. I'm not sure how much I'm going to be able to do this, but I'm sure I'll be able to do it. At present, our country has listed the high cost of medical treatment as one of the three major problems of people's livelihood. Most of the farmers are unable to pay the high medical expenses, often have a disease do not see, small disease drag big, big disease waiting for death, at the same time, they lack of health care knowledge and self-care awareness, more vulnerable to disease, because of the disease caused by poverty, because of the disease back to poverty, into a vicious circle. The lack of medical insurance has become a serious obstacle to the economic and social development of rural areas, and then in this context, the new rural cooperative medical system in October 2002 was born. The new rural cooperative medical system is organized, guided and supported by the government, farmers participate voluntarily, individual, collective and government financing, with the main focus on the coordination of major illnesses, farmers' medical mutual **** relief system. Since its inception in 2003, there have been a number of pilot projects throughout the country, and the cooperative medical system is gradually developing and improving. The content of my research is centered on cooperative medicine, through the understanding of the implementation of agricultural medical and villagers on the degree of satisfaction with the cooperative medical, in order to further identify problems and put forward some suggestions. And as the state puts forward a measure of benefit to the people, the implementation of the new rural cooperative medical system does bring certain benefits to the farmers, but the middle also appeared a lot of problems, so I use my spare time to the village of the cooperative medical issues related to research, through the research activities, the village of the cooperative medical situation has a certain understanding of the implementation of the strengths and weaknesses in the initial summary, so as to the overall situation for the approximate statistics, the village of the cooperative medical situation, the village of the cooperative medical situation is a good place to start. The first step is to make sure that you have a good idea of what you're doing! Five, specific work During the research period I visited the form of understanding of the cooperative medical matters, and then in the form of household interviews to understand the specifics, and summarized the village of my cooperative medical details. My village has a cooperative medical designated clinic, in the center of the village, most of the villagers see a doctor in the village clinic. The doctors in the village medical clinic have practicing certificates, and farmers are guaranteed to see a doctor in the village health clinic. When we talked to the doctors, we learned that "the insurance amount paid by the farmers all belongs to the farmers, and each person can enjoy a reimbursement of 200 after the insurance fee is paid. Patients hospitalized in township hospitals can enjoy 80% reimbursement, and patients hospitalized in municipal hospitals can enjoy 50% reimbursement. Those hospitalized in provincial hospitals can enjoy 40% 'reimbursement." When we talked to the farmers, we learned that they are very satisfied with the new cooperative medical care. They said: "Now it is convenient and cheap to see a doctor, the village doctor has a good attitude, the villagers are assured of seeing a doctor, and now there is no worry about serious illness, the state can be reimbursed." The above is our conversation and make questionnaire when they mentioned, the reason for it by everyone to think about it! The proportion rose from 90% in 2007 to 95% in 2008, and the publicity of the cooperative medical care in our village has increased year by year, and the way of publicity has also increased! At the same time, due to a part of the beneficiary families in 07, they unknowingly play a propaganda role, and the support of the state is more this system continues to expand the solid backing. The issue of reimbursement is a big problem in cooperative medicine. At first, most villagers said they were afraid of the trouble, afraid of wasting more human and material resources and do not want to go to the reimbursement: some villagers said that the reimbursement to go through the "back door", and they have no money, two have no power, or not to suffer from this for the better "There are also villagers think that their family members are very good health, there is no reimbursement will not be encountered, so indifferent to the matter; therefore, they are not interested in this. Therefore, they are indifferent to this matter; there is also a part of the villagers who explain that they do not understand the reimbursement rate and the reimbursement process, and they are too embarrassed to ask their family members who have done the reimbursement, and they think that it is an invasion of privacy. Some of the villagers who had received reimbursement said that Dr. Flag's service was good, and that he would fill in the daily form for you, and if you were not clear about anything, they would give you some guidance. Later, through the government departments to increase the density of propaganda, the village committee team personnel merchants to explain, so that the masses understand the benefits of cooperative medical care, village cadres to help farmers to the town of cooperative medical care site reimbursement. The masses gradually understand the benefits of cooperative medicine, from reluctance to participate in cooperative medicine to voluntary participation. We learned from the reimbursement of more than one family, husband and wife at the same time sick, the treatment of the disease so that they owe debt, so that the family is not rich is more stretched. Although the compensation is less, not enough to fill their family vacancies, but from one side can make the people left behind to get a touch of comfort, is also considered to be the country to give us an account. From this it can be seen, because of the disease to poverty in rural areas is still relatively common, want to completely realize the ultimate goal of cooperative medical care, there is still a long way to go. The other villagers are also aware of the fact that they are quite satisfied with the compensation from the state. Sixth, research and analysis The research found that the new rural cooperative medical care in Liangcheng Village has a very good start, and 98% of the participation rate can better illustrate the feasibility of this policy. At the same time, we should also identify potential problems from the actual. 1, there are still individual farmers did not participate in the cooperative medical care, there are still questions about the cooperative medical care. There are two more special households: one is a retired old teacher, the state subsidy is better, and the daughter is married away, the old man's health is very good, so the cooperative medical care is very unconcerned. The other household thinks that they usually do not have any serious illnesses and do not need to see a doctor, so they do not do the cooperative medical card. From this we can see that, firstly, publicity is in place, but explanations are not. Although they are aware of this policy, the specific implementation process and implementation content are not clear to the farmers. Most people still join with the mainstream, and do not care about the details, easy to eat dumb losses. Second: "There is no need" my family has money, family members are in good health, do not need to add. Third: The government gives me subsidies, but you ask me to pay for participation, this is a losing business I will not do! The first thing I'd like to say is that I don't know where the money is going to go. 2, the villagers to protect their own rights and interests of the awareness is not strong, can not keep abreast of the changes in policy, the above said that there is a family two years did not use the cooperative medical book, but did not ask the village cadres to open the certificate, leading to see a doctor and do not add the same cooperative medical care, which leads to the implementation of the policy obstacles to the implementation of their own rights and interests are not realized. And some villagers never take the cooperative medical care book, ask for the reason, either say forget to bring, or do not know how to use. 3, the quality of doctors need to improve, drug prices should be clearly marked, on the above mentioned to take the phenomenon of cooperative medical book price increases, on the one hand, should be clearly marked to prevent unscrupulous people from the price of drugs on the people's ideas. On the other hand, we should strengthen the quality of the training of doctors and strictly hold the talent level. 4, the reimbursement ratio is small, the scope is narrow, the situation of anti-poverty due to disease occurs from time to time, in the current rural areas can not be avoided. The reimbursement can only be an "afterthought", many high-tech treatment costs are not within the scope of reimbursement, which makes many villagers feel puzzled. Many farmers hope to have a better reimbursement system that can really meet the real needs. 5, farmers in the new rural cooperative medical in a passive position, "participation rate" high but "participation" low. Liangcheng Village, a total population of 2040 people, of which 1500 people in the agricultural population, according to statistics to participate in the cooperative medical care of rural residents amounted to 1,980 people, the participation rate of more than 95%, however, I feel that in the household, a lot of farmers to treat the cooperative medical care actually skeptical and wait-and-see attitude. As a "policy", the implementation of the new rural cooperative medical care is top-down. Here, the government and health center management department is certainly the main operation, the flag and township level public medical institutions are also proactive, the farmers are in a completely passive state, was propaganda, was mobilized, was asked to ...... always passive farmers seem to know that they should be the master of the cooperative medicine and the beneficiaries. Although the relevant departments through the mobilization, persuasion and other ways to obtain a high "participation rate", but in fact the farmers "participation degree" is not high, that is, the inner degree of recognition, trust and confidence is not enough, enthusiasm is not high. VII. My suggestions After the research, I summarized the problems I found: Firstly, at the same time of increasing publicity, more in-depth, more detailed explanation to the villagers about the rules and regulations of the cooperative medical care, so that the farmers to be aware of the situation. If necessary, regular training courses can be organized to invite experienced personnel to explain the relevant information, but also to invite the beneficiaries to dedicate themselves to teaching. Secondly, farmers are the main force behind cooperative medicine, and only when they are truly mobilized can cooperative medicine be considered a final success. Third, the quality of grass-roots cadres and medical personnel needs to be improved, as the saying goes: a dead mouse spoils the pot of porridge. If because of a person's mistakes or faults and affect the implementation of the whole policy is not worth it. And talent is the key, so we must effectively put a good talent level, the government should be extremely strict in the selection of talent, from the source to prevent the occurrence of similar events. Fourth: the price tag, daily part of the drug prices announced, so that farmers to see, understand the specifics of the drug prices, really let them make to the heart of the matter. And increase the supervision, if possible to allow farmers to participate in the supervision, prevention in the people, for the people. VIII. Conclusion Through this research, I take the cooperative medical care as the main entry point, a more in-depth understanding of the current rural areas of some of the basic situation. In this vast land in China, perhaps Liangcheng Village can not be called the typical rural areas, but through the work of the village branch of the cadres, I personally feel that Liangcheng Village cadres and the masses are trying to find a way out, and strive to catch up with the pace of the times, to become a demonstration point of the new countryside. The implementation of the new rural cooperative medical system is in line with the immediate interests of the majority of farmers, and is conducive to the coordinated development of China's urban and rural areas and constantly narrowing the gap between urban and rural areas. He was not smooth at the beginning of the implementation stage, there must be a lot of practical problems, which need to be in the process of promoting the continuous accumulation of experience. I believe it in our party and the people's continuous efforts, will be China's rural cooperative medical insurance business reform in a successful model, will add to the current construction of a new socialist countryside great cause. The new rural cooperative medical care is a huge systematic project carried out by the state on the basis of proposing the construction of a new socialist countryside in order to speed up the establishment of a rural medical security system, improve the health of farmers and better promote the integrated and coordinated development of urban and rural socio-economic. In order to ensure the smooth implementation of this work, xx in the flag of the flag government's unified leadership and deployment, carefully organized, pay close attention to the implementation of the majority of the rural masses actively participate in the town's initial establishment of a major disease co-ordination, medical assistance and rural medical and health services of the new rural cooperative medical system. In order to effectively consolidate this system, and further explore the establishment of healthy and sustainable development of the long-term mechanism, xx CPPCC group on the new rural cooperative medical work and operation of research activities. Now the research report is as follows: First, xx new rural cooperative medical work status and effectiveness xx is 20xx after the reform of the township institutions, by the original xx three townships in one big town, **** there are villages (neighborhood) committees xx, the resident population of xx people. Among them, the number of agricultural households xx households, population xx people, per capita net income of farmers xx yuan, township health center 3, village health room xx, rural doctors 74 people. As of the end of April this year, the township **** completed the enrollment of the population xx people, the participation rate of 82.1%. The main work results: (a), strengthen leadership. The town party committee and government from the practice of the "Three Represents" important thought and the integration of urban and rural development of major strategies, according to the flag government guidance, combined with the local actuality, the development of a new rural cooperative medical implementation program and related systems, set up to the mayor of the town as the leader, the mayor in charge of the town as deputy leader, the relevant departments responsible for the participation of the leading group, the village ( Residence) also set up a leading group. In order to ensure the smooth running of the work, the town government to implement the progress and effectiveness of the village (neighborhood) included in the target management responsibility system, the end of the year to honor the rewards and punishments. (2), carefully implemented. 20xx February 23, the town government held a town rural cooperative medical work mobilization meeting, widely publicized the superiority of the new rural cooperative medical system, and actively guide and mobilize the majority of the rural masses to participate. The town also deployed 58 cadres to 29 villages, together with the village cadres door-to-door publicity and mobilization. Through the posting of slogans, the distribution of publicity brochures and other forms of publicity, greatly mobilizing farmers to participate in the enthusiasm to ensure the successful completion of the financing work and the smooth implementation of the system. (C), standardized management. In order to cooperate with the flag of the work of the Office, the town government has also set up a new rural cooperative medical office, the village (neighborhood) members set up a liaison officer for the standardized management of the rural cooperative medical system provides an organizational guarantee. Continuously improve the new rural cooperative medical rules and regulations, standardize the management of the town designated hospitals, simplify the settlement and audit procedures, the implementation of the service commitment system, and strive to provide quality services for the masses. At the same time to strengthen the management of the fund, the establishment of a special account of income and expenditure in the financial institutions, strict auditing, to eliminate unreasonable and illegal compensation expenditure, regular notification and acceptance of the higher financial, audit departments and the masses of supervision. (D), the new cooperative medical main changes. From the survey: First, it reduces the burden of farmers to see a doctor, to a certain extent, to solve the problem of farmers returning to poverty due to illness, poverty caused by illness. As of the end of June 20xx, xx **** for a sick farmer to compensate for the medical costs of yuan, of which outpatient compensation for people, paid yuan; hospitalization compensation for people, paid yuan; some people get more than 4,000 yuan of compensation, the highest one is xx village xxx, medical costs yuan, compensation for yuan. Secondly, it has increased the rate of rural women giving birth in hospitals, and according to the survey, more than one woman is now giving birth in hospitals, ensuring the safety of mothers and children; thirdly, it has enhanced farmers' awareness of self-care. In the past, many farmers, because of their difficult circumstances, tended to "put off serious illnesses, suffer from minor illnesses, and carry them to the hospital only when they died", and a visit to the hospital was often a last resort. Fourth, the promotion of rural medical institutions to improve the level of service. At present, the three designated hospitals in XX are able to actively improve the hardware and software environment, strengthen system construction, publicize drug prices, strengthen medical management, and do everything possible to improve the level and capacity of hospitals. By improving services and reducing costs, the number of outpatient visits and hospitalizations have risen substantially, and the economic and social benefits of the hospitals have improved. Second, the new cooperative medical care facing new problems The new rural cooperative medical care is a long-term arduous social security project, the implementation of the beginning, there are still many difficulties and problems, mainly in the six aspects: (a) publicity and guidance is not deep enough, the farmers participate in the enthusiasm to be improved. Due to the implementation of the process, on the one hand, due to time constraints, heavy task, policy publicity and guidance work is not yet deep enough, on the other hand, the farmers of the major disease co-ordination based on the lack of experience experience of the new rural cooperative medical work, and the old system is blurred, the long-term implementation of the lack of confidence, resulting in some of the farmers to participate in the insurance is not very high, the initiative to voluntarily participate in the not so much. (2) The audit and settlement process is still complex, the convenience of the service needs to be further optimized. Due to the remoteness of some of the farmers from the designated medical center, the lesser medical expenses, coupled with the round-trip fare farmers believe that the loss is not worth the gain. (C) There are still some unscientific and reasonable places in the policy and system. The main performance in the reimbursement of the threshold is high, the reimbursement rate is low, the reimbursement of the narrow surface of the drug, too many restrictions. (iv) Lack of supervision of designated hospitals. It is difficult for the township government to manage the hospitals, and it can only rely on the supervision of the drug supervision department, which puts the government in an awkward situation. On the one hand, the government actively do the work of the masses to improve the participation rate; on the other hand, the hospital drug prices are not high, the farmers and the pharmacy to buy drugs a lot of difference, affecting the enthusiasm of farmers to participate in the insurance. (E) township medical institutions facilities are outdated. Due to the downturn of the township hospitals in recent years, the state's investment in hospitals and a serious shortage of equipment, resulting in more obsolete, a serious lack of health care personnel, many diseases do not have the technical means of treatment. Farmers reflect, really see a doctor still have to find the county and city hospitals above the treatment. (F) Farmers' expectations are too high. Farmers believe that only with the "cooperative medical card", into which level of hospitals should be their own decision, do not want to be constrained, especially after the hospitalization of a look at the money spent, reimbursement and less, there are complaints.