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目的:通过分析皋兰县2004年到2011年新型农村合作医疗制度(简称新农合)的相关指标,发现新农合在皋兰县运行过程中所存在的问题,为卫生XI项目完善创新和政府部门科学、合理制定政策提供依据。方法:收集甘肃省皋兰县2003-2011年新农合年报资料等,采用动态分析法对皋兰县新农合参合、补偿和运行效果进行分析。结果:皋兰县2003—2011年农村居民参合率、住院实际补偿比、住院率逐年提高;次均住院费用明显上升,农民个人住院自付费用占年纯收入的比例逐年下降;县级以上医疗机构住院人次和基金补偿所占比例较高。结论:皋兰县新农合制度运行良好。县级以上住院人次和补偿资金所占比例偏高,需采取有力措施引导患者合理分流。
OBJECTIVE: To find out the problems existing in the NCMS operation in Gaolan County by analyzing the relevant indicators of the new rural cooperative medical system in Gaolan County from 2004 to 2011 (referred to as NCMS) Government departments to provide scientific basis for rational policy formulation. Methods: The data of NCMS such as 2003-2011 in Gaolan County, Gansu Province were collected. Dynamic analysis was used to analyze the effect of NCMS co-operation, compensation and operation in Gaolan County. Results: The participation rate of rural residents from 2003 to 2011 in Gaolan County, the actual compensation rate in hospital and the hospitalization rate increased year by year. The average cost of hospitalization increased significantly, and the proportion of individual inpatient outpatient expenses in annual net income decreased year by year. Agency inpatient trips and fund compensation accounted for a higher proportion. Conclusion: The new rural cooperative medical system in Gaolan County runs well. The number of inpatients and compensation funds above the county level is high, and effective measures should be taken to guide patients to diversion rationally.