Analysis on Development of New Rural Cooperative Medical Scheme and the Influence of Inpatient Services in Huairou District of Beijing

Objectives To describe the development of financing and utilization,and the impact on inpatient service of the new rural cooperative medical scheme(NRCMS)in Huairou District of Beijing from 2004 to 2011.Methods Descriptive analysis method was used to describe the development trend of financing and expenditure of NRCMS fund.Results In Huairou area,from 2004 to 2011,farmers' participation rate and hospitalization rate increased from 74.61% and 4.46% to 97.13% and9.96% respectively;the per capita funding and the average hospitalization expenses increased from $537.71and$9 094 Yuan to$790.5and$9 552 respectively.However,because the NRCMS fund were overspent in 2010,the policy of NRCMS compensation was conservative in 2011,while the financing of NRCMS increased by 47%,the actual compensation ratio remained the same with the 2010level(50%),and the utilization rate of fund was only 86.01%in 2011.Conclusions The increase of NRCMS participation and funding level brought release of farmers hospital service demand,and was conducive to the improvement satisfaction of farmers health demand.However,the conservative compensation policies will affect farmers benefit.With the increasing of NRCMS financing year by year,it's necessary to raise the level of NCMS benefit and rate of fund utilization,through reasonable NRCM compensation policy.