新型农村合作医疗住院费用控制策略研究

Studying on Strategies of controlling Hospitalization Expenses Under the New Rural Cooperative Medical Scheme

目的以北京市S区为例,描述新型农村合作医疗住院费用的变动特征,探寻控制医疗费用上涨的策略。方法采用描述统计方法分析住院医疗费用在医疗机构间的分布,构建线性回归模型,定量分析各因素对次均住院费用的影响。结果参合农民在不同级别医院间的就诊流向对次均住院费用影响显著。结论应加强对定点医疗机构的监管,提高基层医疗机构的服务能力,以控制医疗费用过快上涨。

OBJECTIVE To describe the changing feature of the New Rural Cooperative Medical Scheme（NCMS）medical hospitalization expenses in Beijing S District as the actual case,explore strategies of controlling medical expenses. METHODS Using descriptive analysis method, to analyze the distribution of medical expenses, and analyze quantitative effect with econometric model. RESULTS The medical flow of peasants with NCMS has great impact to the average hospitalization expenses. CONCLUSIONS Strengthening the supervision on contracted health facilities and enhancing the service ability of sub-unit hospitals should be carried out to control the over-increase of medical expenditure.