CAJ | 학술논문

目的：了解深圳市劳务工医疗保险的门诊费用水平，为劳务工医疗保险政策的进一步完善提供理论依据。方法：对深圳市沙井街道20家社区健康服务中心2007年至2011年的门诊费用业务报表进行统计分析。结果：5年内劳务工医疗保险门诊人均费用控制在38元至53元之间，5年的医保记账比例保持在70%左右，药品占总费用大约40%左右。2009年以后，由于就诊人次增加以及门诊人均费用的上升，近3年劳务工门诊包干基金出现亏损状况。结论：劳务工医疗保险制度确实解决了深圳市广大农民工的基本医疗问题，但针对医疗保险包干基金亏损的问题，政府还应加大劳务工医疗保险的投入，同时进一步完善劳务工医疗保险制度和建立符合社区卫生特点的薪酬制度。
목적：료해심수시노무공의료보험적문진비용수평，위노무공의료보험정책적진일보완선제공이론의거。방법：대심수시사정가도20가사구건강복무중심2007년지2011년적문진비용업무보표진행통계분석。결과：5년내노무공의료보험문진인균비용공제재38원지53원지간，5년적의보기장비례보지재70%좌우，약품점총비용대약40%좌우。2009년이후，유우취진인차증가이급문진인균비용적상승，근3년노무공문진포간기금출현우손상황。결론：노무공의료보험제도학실해결료심수시엄대농민공적기본의료문제，단침대의료보험포간기금우손적문제，정부환응가대노무공의료보험적투입，동시진일보완선노무공의료보험제도화건립부합사구위생특점적신수제도。
Objective:To understand the level of outpatient costs of Medicare for labor workers in Shenzhen, and provide a theory evidence for further improvement of labor workers medical insurance policy. Methods:Statistical analysis is according to outpatient service report of the Shenzhen City shajing street in 20 community health service center from 2007 to 2011 . Results:The per capita cost of labor workers medical insurance outpatient expenditure are control between 38 yuan to 53 yuan in 5 years .The medical insurance accounting ratio remained at about 70% in 5 years, The pharmaceutial costs account for the total cost of approximately 40%. Since 2009, due to increased outpatient visits , the outpatient per capita costs on the rise , the lump sum fund for labor workers loss situation nearly 3 years. Conclusion:Although labor workers medical insurance system is to solve the basic medical problems in Shenzhen city the majority of migrant workers, but for the medical insurance contract fund loss problem, the government should also increase investment for the labor workers medical insurance, and further improve the labor workers medical insurance system and establish community health characteristics of salary system.