中国卫生经济
中國衛生經濟
중국위생경제
CHINESE HEALTH ECONOMICS
2014年
2期
25-27
,共3页
崔欣%荆丽梅%孙晓明%浦良发%张群芳
崔訢%荊麗梅%孫曉明%浦良髮%張群芳
최흔%형려매%손효명%포량발%장군방
新型农村合作医疗%支付方式改革%按人头支付%住院医疗费用
新型農村閤作醫療%支付方式改革%按人頭支付%住院醫療費用
신형농촌합작의료%지부방식개혁%안인두지부%주원의료비용
new rural cooperative medical scheme%payment reform%capitation%inpatient medical expense
目的：评价新型农村合作医疗实施“按人头支付”改革对参合农民住院医疗费用控制的效果。方法：收集浦东新区“按人头支付”改革实施前、后的新型农村合作医疗运行数据以及5.1万住院人次的就诊费用、补偿金额等数据并进行比较分析。结果：支付方式改革后，对于控制住院费用的过快增长有一定作用，其中以镇级机构效果最为明显。结论：针对二、三级医院的控费配套措施以及评价转诊服务合理性等方面仍有待深入研究。
目的：評價新型農村閤作醫療實施“按人頭支付”改革對參閤農民住院醫療費用控製的效果。方法：收集浦東新區“按人頭支付”改革實施前、後的新型農村閤作醫療運行數據以及5.1萬住院人次的就診費用、補償金額等數據併進行比較分析。結果：支付方式改革後，對于控製住院費用的過快增長有一定作用，其中以鎮級機構效果最為明顯。結論：針對二、三級醫院的控費配套措施以及評價轉診服務閤理性等方麵仍有待深入研究。
목적：평개신형농촌합작의료실시“안인두지부”개혁대삼합농민주원의료비용공제적효과。방법：수집포동신구“안인두지부”개혁실시전、후적신형농촌합작의료운행수거이급5.1만주원인차적취진비용、보상금액등수거병진행비교분석。결과：지부방식개혁후，대우공제주원비용적과쾌증장유일정작용，기중이진급궤구효과최위명현。결론：침대이、삼급의원적공비배투조시이급평개전진복무합이성등방면잉유대심입연구。
Objective: To evaluate the effect of controlling the inpatient medical expenses for participating farmers after the implementation of this reform. Methods: It collected the new rural cooperative medical system ( NCMS) operational data before and after the implementation of capitation reform. The data included 51 000 inpatient records about treatment cost , the amount of compensation and other data from 2011 to 2012. Results: After the capitation reform, the excessive growth of inpatient medical expenses obtained a certain degree control, especially the effect of community health institutions is most obvious. Conclusion: Further studies on how to motivate the staff in secondary and tertiary hospitals to control medical expense actively are needed.
