某区新型农村合作医疗住院补偿现状研究

Cross—sectional Study On The Compensation Of Hospitalization Of New Rural Cooperative Medical System In Dongchuan County

目的探讨东川区新型农村合作医疗制度住院补偿方案,为该区调整和完善住院补偿方案提供参考依据。方法采用流行病学现场研究方法进行研究。结果东川区实际住院补偿比与规定存在差距,实际补偿为省级13.0%(规定30%)、市级16.0%(规定30%)、区级35.3%(规定45%)、乡级44.7%(规定55%分);2006、2007年减免人次及减免费用比例均以区级医疗机构最高,均高于63.24%。结论东川区现行新农合制度住院补偿方案基本合理,值得借鉴和推广,建议在不断调整和完善的基础上继续深入实施。

Objective To probe into the compensatory scheme of hospitalization of new rural cooperative medical system of Dongchuan county in order to provide reference evidence for adjust and perfect the compensatory scheme of hospitalization in Dongchuan county. Method To use the epidemiology scene research technique to conduct the research. Results There was disparity between the actual compensatory ratio of hospitalization（abbr. ACRH） and the stipulation compensatory ratio of hospitalization in Dongchuan. The actual compensatory ratio of hospitalization of province was 13%（ stipulation 30 %）, ACRH of city was 16% （stipulation 30%）, ACRH of county was 35.5% （stipulation 45%）, ACRH of country was 44.7%（ stipulation 55%）. There were both highest of the ratio in reductive person--time and derating fee in medical institution of county. It was both higher than 63.24%. Conclusions It was reasonable the current compensatory scheme of hospitalization. It was worthy of using for reference and spreading. It was suggested that Dongchuan continue to put it in practice on the basis of constantly adjusting and perfecting it.