很高雅的商务ppt模板;第三极世界中国the Case of Three Counties in Rural China.pptx

Analysis of Inpatient Services Utilization by Wealth Classes Under the Linkage Between NCMS and MA -----the Case of Three Counties in Rural ChinaXuefei Gu, Xiaoguang Fu, M. Hafizur Rahman, David H. Peters, Zhengzhong Maolow utilization of health servicesillness injurypovertyBackgroundNCMS+MA?In late 2002, Chinese government resolved to introduce the New Rural Cooperative Medical Scheme (NCMS) and Medical Assistance (MA) to prevent illness induced povertyContentBackgroundMethodologyResultsDiscussionBackgroundNCMS targets all rural communitiesMA targets the poor in rural and urban areasMA finances are principally directed at funding poor farmers’ contributions to NCMSIn terms of inpatient services, the poor pays a lower proportion of medical care expenses OOP than better offBackgroundSome previous researches showed that farmers’ use of health services, particularly inpatient services, had risen dramatically under NCMSBut the poor used less than non-poorWhy?NCMS and MA inpatient reimbursementCeiling: about 20,000 CNYCo-pay 10%-20%MA subsidies 30%-50%NCMS subsidies40%-60%Deductible 100-300 CNYMA pays for the part under the deductible lineBackgroundExcept the high co-payment, complicated reimbursement procedure was another important reason NCMS is administered by health authorities and MA is charged by the Ministry of Civil AffairsThe poor needs to pay all hospitalizing expenses and then get subsides from NCMS and MAlong timeBureau of Civil AffairsNCMS administration officedischarge from hospitalpay all hospitalizing expenses get subside from NCMSget subside from MAResearch QuestionThe linkages between two programs including scheme design and management level became a big problemA few counties had done some experiments on itThe study attempts to answer if the inpatient services utilization by the poor can be improved under the linkage between NCMS and MAAssumptionThere is difference among different income groups on the utilization of health servicesEffective linkages b