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目的评价江西省新型农村合作医疗大病统筹基金的利用效率和公平性。方法采用统计描述、比较分析、基尼系数方法等进行分析等。结果山西省娄烦、榆社县新农村合作医疗补偿比分别为23.5%和31.33%,后者通过2次补偿,有效补偿比达到41.04%。基金收支基本平衡。疾病负担最重的群体获得了最多(48.7%)的补偿费用,但疾病经济负担依然最重。农民住院率由3.9%提高到4.3%。补偿后的大病户家庭收入分配基尼系数由0.454降为0.372。结论新型农村合作医疗大病统筹基金补偿效率较高,一定程度上体现了补偿的垂直公平,但需要改进方案进一步降低弱势群体的疾病经济负担。
Objective To evaluate the efficiency and fairness of the utilization of new-typed rural cooperative medical funds in Jiangxi Province. Methods using statistical description, comparative analysis, Gini coefficient method for analysis. Results The compensation ratios of New Rural Cooperative Medical Scheme in Loufan and Yushe County of Shanxi Province were 23.5% and 31.33% respectively, while the latter passed two times of compensation and the effective compensation ratio reached 41.04%. Fund balance of payments. The group with the highest disease burden received the most compensation (48.7%), but the economic burden of disease still remained the heaviest. Peasant hospitalization rate increased from 3.9% to 4.3%. After compensation, the Gini coefficient of household income distribution dropped from 0.454 to 0.372. Conclusion The compensation rate of the new-typed rural cooperative medical fund for serious illness co-ordination fund is relatively high, which reflects the vertical fairness of compensation to a certain extent. However, it is necessary to improve the program to further reduce the economic burden of disease for vulnerable groups.