中华医院管理杂志
中華醫院管理雜誌
중화의원관리잡지
CHINESE JOURNAL OF HOSPITAL ADMINISTRATION
2008年
4期
265-267
,共3页
新型农村合作医疗%中医药%西医药%费用%评价
新型農村閤作醫療%中醫藥%西醫藥%費用%評價
신형농촌합작의료%중의약%서의약%비용%평개
New rural cooperative medical system%Traditional Chinese medicine%Western medicine%Expense%Evaluation
目的 验证中医药与西医药相比具有一定的价格优势,测算在新型农村合作医疗制度中合理提高中医药补偿比例的数值.方法 采用分层抽样调查和文献资料复习法,比较中医药、西医药及中西医结合3种方法诊治农村常见病、多发病的次均门诊和住院费用.结果 次均门诊和住院费用中,中医药低于西医药、中西医结合低于西医药、中医药低于中西医结合.其中住院费用中,中医费用比西医费用低25.2%.同时计算出了费用统计比值,提出了中医药、西医药在新型农村合作医疗中的补偿比例数学模型.结论 建议各地在制定新型农村合作医疗实施方案中,以中医药门诊和住院费用比西医药门诊和住院费用分别实行提高25%和33%左右的补偿比例为宜.
目的 驗證中醫藥與西醫藥相比具有一定的價格優勢,測算在新型農村閤作醫療製度中閤理提高中醫藥補償比例的數值.方法 採用分層抽樣調查和文獻資料複習法,比較中醫藥、西醫藥及中西醫結閤3種方法診治農村常見病、多髮病的次均門診和住院費用.結果 次均門診和住院費用中,中醫藥低于西醫藥、中西醫結閤低于西醫藥、中醫藥低于中西醫結閤.其中住院費用中,中醫費用比西醫費用低25.2%.同時計算齣瞭費用統計比值,提齣瞭中醫藥、西醫藥在新型農村閤作醫療中的補償比例數學模型.結論 建議各地在製定新型農村閤作醫療實施方案中,以中醫藥門診和住院費用比西醫藥門診和住院費用分彆實行提高25%和33%左右的補償比例為宜.
목적 험증중의약여서의약상비구유일정적개격우세,측산재신형농촌합작의료제도중합리제고중의약보상비례적수치.방법 채용분층추양조사화문헌자료복습법,비교중의약、서의약급중서의결합3충방법진치농촌상견병、다발병적차균문진화주원비용.결과 차균문진화주원비용중,중의약저우서의약、중서의결합저우서의약、중의약저우중서의결합.기중주원비용중,중의비용비서의비용저25.2%.동시계산출료비용통계비치,제출료중의약、서의약재신형농촌합작의료중적보상비례수학모형.결론 건의각지재제정신형농촌합작의료실시방안중,이중의약문진화주원비용비서의약문진화주원비용분별실행제고25%화33%좌우적보상비례위의.
Objective To verify that traditional Chinese medicines have certain price advantages compared with western medicines,and to estimate the rational increase in the compensation proportion of traditional Chinese medicine in the new rural cooperative medical system.Methods Using stratified sampling survey and literature review,the average outpatient and hospitalization expenses in the treatment of common diseases in rural areas were calculated and compared among traditional Chinese medicine,western medicine,and integrated traditional and western medicine.Results For average outpatient and hospitalization expenses,traditional Chinese medicine was lower than western medicine,integrated traditional and western medicine was lower than western medicine.and traditional Chinese medicine was lower than integrated traditional and western medicine.For hospitalization expense,traditional Chinese medicine had a 25.2%lower expense compared with western medicine.The ratios of expenses were statistically calculated,and the mathematical model for the compensation proportions of traditional Chinese medicine and western medicine in the new rural cooperative medical system was put forward.Conclusions In the implementation scheme of new rural cooperative medical system,the compensation proportion of traditional Chinese medicine in outpatient and hospitalization expenses should be increased by 25%and 33%respectively compared with western medicine.
