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目的分析湖北省新型农村合作医疗筹资来源、资金使用和受益等情况,为制定相关政策提供信息。方法利用Excel软件建立数据库,使用统计学方法,分析2003-2009年湖北省新型农村合作医疗筹资及资金使用情况。结果 2003年全省新型农村合作医疗筹资总额为3.488亿元,2009年增加到39.4亿元。政府财政补助2003年为0.197亿元,2009年增加到31.9亿元。农民个人缴费占筹资总额的比重由2003年的43.52%,下降为2009年的19.03%。资金主要投入于住院和门诊费用,2009年二者之和占费用总额的97.83%以上。结论政府财政补助是湖北省新型农村合作医疗的主要筹资来源,继续加大政府财政补助、优化资金支出结构是实现全覆盖目标的重要保证。
Objective To analyze the sources of financing, use of funds and benefits of new rural cooperative medical system in Hubei Province and provide information for formulating relevant policies. Methods Using Excel software to establish a database and use statistical methods to analyze the fundraising and fund utilization of new rural cooperative medical system in Hubei Province during 2003-2009. Results In 2003, the total new-type rural cooperative medical fund-raising in the province totaled 348.8 million yuan and in 2009 increased to 3.94 billion yuan. Government financial subsidies in 2003 was 0.197 billion yuan in 2009 increased to 3.19 billion yuan. The proportion of peasants’ individual contribution to the total amount of funding dropped from 43.52% in 2003 to 19.03% in 2009. Funds mainly for hospitalization and out-patient expenses, the sum of the two in 2009 accounted for more than 97.83% of the total costs. Conclusion The government financial subsidy is the main financing source for the new rural cooperative medical system in Hubei Province. It is an important guarantee for the government to continue to increase government financial subsidies and optimize the capital expenditure structure to achieve the full coverage goal.