摘要
目的:了解新型农村合作医疗实施1年后,农民的门诊与住院医疗费用变化情况,评价新型农村合作医疗实施对医疗费用的影响。方法:采用分层整群随机抽样方法抽取婺源县3个乡镇9个行政村,每村70户入户进行基线调查和1年后的跟踪调查;同时随机抄录乡、县两级医院部分农民的住院费用情况进行分析。结果:新型农村合作医疗实施1年后婺源县农民年人均医疗费用为2 71.87元,较基线调查的2 12 .6 2元高出5 9.2 5元,其中门诊费用降低了0 .0 5元,住院费用升高了5 9.30元。住院费用增高主要是2 0 0 0 0元以上费用段费用增高所致。结论:婺源县在实施新型农村合作医疗制度1年后,农民年人均医疗费用升高,主要表现为大额住院费用的升高,应采取相应对策。
Objective to get some idea of farmers clinic and hospitalization cost change condition,after new- type rural cooperative medical system( CMS) was carried outone year,to appraise the impact of the new- type rural CMS on medical cost.Methods We adopted stratified cluster random sampling to choose 3townships ,9administrative villages in Wuyuan county,70 households in every village,and carried outthe base- line investigation and follow- up investigation.We made a copy of some farmers'medical expenses in township and county hospitals at random atthe same time and analysed.Result The annual per capita medical cost of farmers in Wuyuan county is 2 71.87yuan after new- type rural CMS was implemented one year,which is 5 9.2 5 yuan higher than the base- line investigation’s 2 12 .6 2 yuan.Among the annual per capita medical cost ,clinic expenses have been reduced by 0 .0 5 yuan and expenses in hospital have raised 5 9.30 yuan.The expenses increased in hospitalization is mainly because that expenses in the category of more than 2 0 0 0 0 yuan increase.Conclusion The annual per capita medical costof farmers in Wuyuan county increased after new- type rural CMS was implemented one year.The increase is represented by the raising of large amount cost for hospitalization,so we should take some corresponding countermeasure to control it.
出处
《中国农村卫生事业管理》
2005年第5期11-14,共4页
Chinese Rural Health Service Administration
基金
江西省卫生厅科研基金资助
关键词
新型农村合作医疗
医疗费用
调查分析
the new-type rural CMS
medical expenses
survey and analysis