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目的:从该县的实际情况以及所面临的问题出发,为该县未来新型农村合作医疗政策进行有针对性的调整提供依据。方法:主要利用现场调研的方法收集所需数据,并利用数理统计分析的方法对数据进行描述和分析。结果:2012年该县新型农村合作医疗参合率已达到99.2%,住院人次快速增长,平均住院日基本保持平稳,平均住院费用有明显上涨,参合农民的自付费用逐年增加,自付费用占收入的比例并没有明显下降,各类医疗机构的补偿比例逐年提升,参合农民住院诊断前10位病种3年变化不大,肺部感染居首位。结论:该县新农合基本实现农业人口的全覆盖;仍需调整政策,降低自付费用占人均纯收入的比例;另外,在扩大新农合的病种报销范围的同时,要实施小病分类补偿,优化小病统筹的效率,充分发挥基层医疗机构的优势;多方面着手,以切实提高农民的受益程度,完善新农合政策。
Objective: Based on the actual situation of the county and the problems it faces, this article provides the basis for the targeted adjustment of the new rural cooperative medical policy in this county. Methods: The main data collected by on-the-spot investigation were used to describe and analyze the data by means of mathematical statistics and analysis. Results: The participation rate of new rural cooperative medical system in this county reached 99.2% in 2012, the number of inpatient visits increased rapidly, the average length of stay was basically stable, the average hospitalization expenses increased obviously, the farmers’ self-pay expenses increased year by year, and the out-of-pocket expenses accounted for the income The proportion of compensation for all kinds of medical institutions has been increasing year by year. Little changes have taken place in the top 10 diseases among the 10 inpatients who participated in the inpatient diagnosis of peasants, with pulmonary infection ranking the first place. Conclusion: NRCMS in this county can basically realize the full coverage of agricultural population. Policies need to be adjusted to reduce the proportion of out-of-pocket expenses in per capita net income. In addition, while expanding the scope of reimbursement for NRCMS, Classify compensation and optimize the efficiency of the co-ordination of minor diseases, and give full play to the advantages of grass-roots medical institutions. In various aspects, we should earnestly improve the peasants’ benefit and improve the policy of the new rural cooperative medical co-operation.