慢性病门诊费用纳入新型农村合作医疗大病统筹基金管理的费用界定

Fees Confirmation on Taking Outpatients' Expenditure to Pooling Fund in New Rural Cooperative Medical System Fund Management

目的:探求新型农村合作医疗个人不同筹资额度下将门诊费用纳入大病统筹基金的慢性病病种,核算慢性病门诊费用纳入大病统筹基金后的筹资增加额与原有新型农村合作医疗基金结余额的缺口。方法:采用费用等级迭代的方法确定慢性病的病种,将基金增加额与原有新型农村合作医疗基金结余额进行比较。结果:测算出不同筹资额下纳入的慢性病病种及对应的筹资额度的增加额。结论:采用迭代方法确定出慢性病门诊费用纳入大病统筹基金管理具有可行性。

Objective： To explore the chronic diseases of taking outpatients＇ expenditure into pooling fund under different kinds of finances; and to ascertain the discrepancy between the increased fund and the balanced fund. Method： The thesis applies the itera- tive method of different kinds of finances to ascertain the disease spectrum, meanwhile to compare the increased fund with the former balanced fund. Results： The paper ascertains different kinds of chronic diseases and its corresponding increasing premiums under different finances. Conclusion： It is feasible to take the iterative method into the fees calculation.