福建省AX县新农合公平性问题探讨

Exploring Analysis on Equity of New Cooperative Medical System in AX County,Fujian

[目的]剖析福建省AX县新型农村合作医疗(新农合)运行中有关补偿公平性的若干问题。[方法]收集该县运行一年住院14840例补偿数据,以SPSS软件包进行有关指标的评价分析。[结果]农民在3级医院(乡、县、县以上)中住院,一般说来,年均收入高的乡镇农民,"实际补偿额"、"住院日数"、"名义补偿比"和"实际补偿比"均较高(P<0.01);后3个指标和"住院费"等4个指标同质分析(homogeneity analysis,HOMALS)的图示结果更为清晰;多元方差分析-Hotelling T2检验也得出类似结论(精确F=4.14,P=0.002)。[结论]通过补偿数据的深入分析,可揭示新农合运行存在公平性方面的隐忧,在制订和调整补偿方案时值得引起注意。

[Objective] To explore some problems on remedy equity of new cooperative medical system （NCMS） in AX County in Fujian, China. l-Method2 The remedy data for one year were collected and analyzed by SPSS package for equity evaluation of NCMS running in AX. [Results] Generally speaking, the levels of actual remedy fare, hospitalization days, nominal remedy percent and actual remedy percent in richer townships were higher than that in the poorer townships in 3 hospital levels （P〈0. 01）. Homogeneity analysis （HOMALS） and its graphing with later 3 indexes and hospitalization fare may show the tendency more clearly. The similar results can be shown by Hotelling T^2 test （ExactF = 4. 14074, P =0. 002）. [Conclusion] The worrying or the condition on remedy equity of NCMS in AX may be explored out by deeply statistical analysis of remedy data. The problem on remedy equity of NCMS policy in AX, Fujian should be noticed in the future.