CAJ | 학술논문

目的：县级公立医院综合改革成为我国公立医院改革的突破口，各项政策实施成效如何，成为评价本轮医改的主要着眼点，新型农村合作医疗基金的合理有效使用必将有力推动新医改的进程。方法：应用数学建模的方法对医院运行的历史数据实施政策模拟，测算县级公立医院综合改革措施在10个县级公立医院实施后，新型农村合作医疗基金对医院补偿支出的增减情况。结果：2010年到2012年的运行数据分析来看，有66.67%年次，新型农村合作医疗基金对公立医院补偿支出增加，共增加2307.56万元，平均增加169.17万元。结论：综合改革政策实施后新型农村合作医疗基金对县级公立医院支出增减程度的影响因素主要是医院前期的药品加成比和基本药物销售总额在药物销售总额中的占比。
목적：현급공립의원종합개혁성위아국공립의원개혁적돌파구，각항정책실시성효여하，성위평개본륜의개적주요착안점，신형농촌합작의료기금적합리유효사용필장유력추동신의개적진정。방법：응용수학건모적방법대의원운행적역사수거실시정책모의，측산현급공립의원종합개혁조시재10개현급공립의원실시후，신형농촌합작의료기금대의원보상지출적증감정황。결과：2010년도2012년적운행수거분석래간，유66.67%년차，신형농촌합작의료기금대공립의원보상지출증가，공증가2307.56만원，평균증가169.17만원。결론：종합개혁정책실시후신형농촌합작의료기금대현급공립의원지출증감정도적영향인소주요시의원전기적약품가성비화기본약물소수총액재약물소수총액중적점비。
Objective: As the breakthrough for public hospital reform in China, County public hospital comprehensive reform has become the main part of the reform, the reasonable use of New Rural Cooperative Medical System(NCMS) would strongly push the process of new medical reform. Methods: The method of mathematical modeling was applied in policy imitate of hospital operation historical data, to estimate the increasing of decreasing status of NCMS hospital compensation expenditure after the implementation of county-level public hospital comprehensive reform measurement in 10 county-level public hospital. Results: Through analyzing the operation data of applying county-level public hospital comprehensive reform measurement in 10 county-level public hospital from 2010 to 2012, there was 66.67% annual time, the NCMS compensation expenditure for public hospitals increased to 23.075 6 million yuan, which increased by 1.691 7 yuan averagely. Conclusion: After the implementation of comprehensive reform policies, the influencing factors of NCMS funds on the decreasing degree of county-level public hospital expenditure were mainly the proportion of pre drug addition ratio and basic drug sales in the total drug sales.