长治医学院学报
長治醫學院學報
장치의학원학보
JOURNAL OF CHANGZHI MEDICAL COLLEGE
2015年
2期
98-100,101
,共4页
新型农村合作医疗%住院费用%补偿比例%负担比例
新型農村閤作醫療%住院費用%補償比例%負擔比例
신형농촌합작의료%주원비용%보상비례%부담비례
new rural cooperative medical%hospital expenses%compensation Ratio%burden ratio
目的：：了解长治市襄垣县2010—2013年新型农村合作医疗的参合率、住院率、补偿比例和负担比例等情况，发现存在的问题并提出政策建议，为新农合的可持续发展提供科学依据。方法：将2010—2013年的新农合报销的原始资料，统一汇总录入 Excel 2007数据库，运用 SPSS18.0软件，对住院人次、住院天数、住院费用、补偿比例和负担比例等指标进行描述性分析，组间比较进行Z2检验、χ2检验等。结果：襄垣县从2010—2013年，平均住院率为6.86%，住院补偿比由47.13%增加到55.12%，住院负担比由48.41%降低到45.02%；省级及以上医院住院人次下降了6.59%，乡镇医院提高了4.52%。结论：参合农民住院人次逐年提高，住院补偿比例逐步增加，负担比例逐步下降，提示新型农村合作医疗住院服务利用率稳步提高，基层医疗机构利用率正在逐步加强。但是负担比例仍很重，尤其是县外医院和恶性重大疾病补偿比例须待进一步提高。
目的：：瞭解長治市襄垣縣2010—2013年新型農村閤作醫療的參閤率、住院率、補償比例和負擔比例等情況，髮現存在的問題併提齣政策建議，為新農閤的可持續髮展提供科學依據。方法：將2010—2013年的新農閤報銷的原始資料，統一彙總錄入 Excel 2007數據庫，運用 SPSS18.0軟件，對住院人次、住院天數、住院費用、補償比例和負擔比例等指標進行描述性分析，組間比較進行Z2檢驗、χ2檢驗等。結果：襄垣縣從2010—2013年，平均住院率為6.86%，住院補償比由47.13%增加到55.12%，住院負擔比由48.41%降低到45.02%；省級及以上醫院住院人次下降瞭6.59%，鄉鎮醫院提高瞭4.52%。結論：參閤農民住院人次逐年提高，住院補償比例逐步增加，負擔比例逐步下降，提示新型農村閤作醫療住院服務利用率穩步提高，基層醫療機構利用率正在逐步加彊。但是負擔比例仍很重，尤其是縣外醫院和噁性重大疾病補償比例鬚待進一步提高。
목적：：료해장치시양원현2010—2013년신형농촌합작의료적삼합솔、주원솔、보상비례화부담비례등정황，발현존재적문제병제출정책건의，위신농합적가지속발전제공과학의거。방법：장2010—2013년적신농합보소적원시자료，통일회총록입 Excel 2007수거고，운용 SPSS18.0연건，대주원인차、주원천수、주원비용、보상비례화부담비례등지표진행묘술성분석，조간비교진행Z2검험、χ2검험등。결과：양원현종2010—2013년，평균주원솔위6.86%，주원보상비유47.13%증가도55.12%，주원부담비유48.41%강저도45.02%；성급급이상의원주원인차하강료6.59%，향진의원제고료4.52%。결론：삼합농민주원인차축년제고，주원보상비례축보증가，부담비례축보하강，제시신형농촌합작의료주원복무이용솔은보제고，기층의료궤구이용솔정재축보가강。단시부담비례잉흔중，우기시현외의원화악성중대질병보상비례수대진일보제고。
Objective:Through learning the related data from the 2010 to 2013 in Xiangyuan County,including the rate of the new rural cooperative medicine system participants,the hospitalization,the compensation and the burden rates,some policy recommendations were put forward for the sustainable development of the new rural cooperative medical system.Methods:After inputting the original data into Excel 2007 data base,the results of the hospital visits,the hospital days,the hospital expenses,the compensation rate and the burden rate between 2010 and 2013 were analyzed by SPSS18.0 software,and the distribution between the groups byχ2 and Z2 test. Results:From 2010 to 2013,the average hospital visits increased by 16.18% in Xiangyuan county;the rate of hospital compensation increased from 47.13% to 55.12%;the rate of hospital burden reduced from 48.41% to 45.02%.The rate of hospital visits in the provincial level and above hospitals decreased by 6.59%,and the rate of hospital visits in township hospitals increased by 4.52%. Conclusion:The hospital visits increased year by year,the rate of hospital compensation increased gradually,and the ratio of burden declined gradually,the utilization rate of the new rural cooperative medical service in hospital increased steadily.However,the rate of burden was still very heavy.It is getting more necessary to improve the rate of compensation in outside the county hospitals and malignant maj or diseases.
