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目的分析湖南省2009-2013年新型农村合作医疗基金的筹资和利用情况,探讨新农合基金运行及参合农民受益情况。方法采用2009-2013年《湖南省新型农村合作医疗统计调查年报表》数据计算农民参合率、筹资增长率、年人均受益次数、补助人次、补助金额、次均补助金额占住院费用比例等指标。结果新农合参合率和筹资金额逐年增长,2013年湖南省农民新农合参合率达到98.98%,人均实际筹资额达到343.63元。2009-2013年间,新农合受益总人次由21 071 306人次提高到61 036 513人次,增长了1.9倍;年人均受益次数由0.46次提高到1.29次。全省次均住院总费用由2 516.47元上升至3 127.48元。全省实际住院报销补助比例从41.64%增加到62.31%。结论 2009-2013年间,湖南省新农合制度发展较快,基本实现了对农村居民的全覆盖,释放了农村居民的就医需求,较大程度上解决了农村居民“看病贵、看病难”的问题。
Objective To analyze the fund-raising and utilization of new rural cooperative medical fund from 2009 to 2013 in Hunan Province, and to explore the operation of new rural cooperative fund and the benefit of participating farmers. Methods The data of farmers’ participation rate, financing growth rate, per capita benefit times, subsidies, subsidies and the proportion of subsidized hospital admission in hospitals were calculated using data from 2009-2013 Annual Report of New Rural Cooperative Medical System in Hunan Province. Results The NRCMS participation rate and fund raising amount increased year by year. In 2013, the NRCMS participation rate of peasants in Hunan Province reached 98.98%, and the per capita actual financing amount reached 343.63 yuan. From 2009 to 2013, the total number of NCMS beneficiaries increased from 21 071 306 to 61 036 513, an increase of 1.9 times; the annual per capita benefit from the hospital increased from 0.46 times to 1.29 times. The average cost of hospitalization in the province increased from 2 516.47 yuan to 3 127.48 yuan. The province’s actual hospital reimbursement ratio increased from 41.64% to 62.31%. Conclusion During the period from 2009 to 2013, the system of new rural cooperative medical system in Hunan Province developed rapidly, basically realizing the full coverage of rural residents and releasing the medical needs of rural residents. To a large extent, it solved the problem of rural residents’ "The problem.