Abstract:

Objective  To probe into the major problems and propose the corresponding countermeasures through analyzing the flow direction of the hospital visit and medical expenditure of new rural cooperation medical scheme (NRCMS) in Jilin province.Methods The 2003-2012 data from the statistical information system of NRCMS in Jilin province  was used to conduct the statistic analysis.A cluster sampling method was used to investigate  NRCMS inpatient,about person-time,medical expenditure,hospitalization reimbursement and  rate per time in various hospitals.Results During ten years from 2003 to 2012,the rate of inpatients,medical expenditure and reimbursement to county-level or higher-level medical institutions increased year by year.The constituent ratios of the number of inpatient in medical treatment institution above county level,at county-level，and at township level were 26.7%,46.3%,and 27% in 2009；and were 30.4%,54.2%,and 15.4% in 2012. The constituent ratios of medical expenditure were 57%,34%,and 9% in 2009；and were 56.3%,37.9%,and 5.8% in 2012. The constituent ratios of hospitalization reimbursement were 49.2%,38.1%,and 12.7% in 2009；and were 46.3%,45.6%,and 8.1% in 2012.The average hospitalization reimbursement rates per time were 32.2%,41.5%,and 52.6% in 2009,and were 43.2%,63.1%,and 73.4% in 2012.Conclusion In the last decade,the rate of inpatient,medical expenditure and reimbursement to county level or higher level medical institutions increased significantly.However,the rate of township hospitals reduced year by year.The average hospitalization reimbursement rate per time in Jilin provinceincreased year by year,and the rate of township hospitals was the highest.

Key words: new rural cooperation medical scheme, hospitalization reimbursement, medical expenditure