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目的了解南京市高淳区公立一级医疗机构部分单病种支付方式实施的具体情况、成效和社会经济影响。方法调查高淳区公立一级医疗机构部分单病种支付的方案,收集补偿方案资料,采用问卷调查的方法获知农民满意度。结果部分单病种支付方式的实践,提高了新农合基金使用效率,补偿比较高,农民满意度较高。结论公立一级医疗机构实施部分单病种支付,能有效提高新农合基金使用效率,农民降低疾病负担,规范医疗机构行为,并能够获得较好的社会影响,但要注意防止过度医疗。
Objective To understand the specific conditions, effectiveness and socio-economic impact of the implementation of partial single-disease payment in public primary medical institutions in Gaochun District of Nanjing. Methods To investigate the payment scheme of some single disease in public primary medical institutions of Gaochun District, collect compensation scheme data and obtain the satisfaction of farmers by questionnaire. Results The practice of partial payment of single disease improved the utilization efficiency of the new rural cooperative fund, with relatively high compensation and higher farmers’ satisfaction. Conclusion The implementation of partial payment of single disease in public primary medical institutions can effectively improve the utilization efficiency of new rural cooperative fund, reduce the disease burden of farmers, regulate the behavior of medical institutions and obtain better social effects, but pay attention to preventing over-medical treatment.