Effect evaluation of new rural cooprative medical system (NCMS) insurance fund for serious disease

ObjectiveTo evaluate the efficiency and equity of NCMSs' fund in Jiangxi province.MethodsStatistic description,comparion analysis and Gini coefficient were involved in the study.ResultsThe compensate propotion of NCMS was 23.57% and 31.33% in Yushe and Loufan county,respectively,and it reached to 41.04% by recompensation.Revenus and expenditure of the fund were basically balanced.The participants suffering the heaviest disease got the most compensation(48.7%)from NCMS,but they were still with the heaviest economic burden.The rate of hospitalization for country man improved from 3.9% to 4.3%,the income Gini coffecient of the patients'families fell from 0.454 to 0.372.ConclusionThe efficency of NCMS fund is high,and vertical equity of the compensation could be observed.But the proect should be improved so as to reduce the disease burden of the disadvantage participants.