摘要
文章根据2011年全国新农合15个监测点的15所县人民医院的数据,通过比较分析参加新农合的老年人和普通人群之间、新农合老年患者与城镇职工医保和城镇居民医保老年患者之间在7个常见住院病种方面的住院人次、住院时间及费用、住院补偿等方面的差异,发现:参合人群中,与普通人群相比,老年人的住院时间长,住院费用高,但获得的住院补偿并不存在优势。三种医保老年患者中,虽然参合老年患者的住院费用相对较低,但获得的住院补偿比例也远低于城镇职工医保老年患者。短期看,建议通过提高新农合筹资水平、加大农村医疗救助等措施,以提高农村地区老年人在新农合中的受益水平;长期看,应建立老年医疗保障制度,以切实降低老年人的就医负担。
According to data from 15 county people＇s hospitals of 15 monitoring counties,we analyzed the differences in hospital stay,cost and reimbursement about 7 common diseases between elderly inpatients and average inpatients covered by NCMS,and inpatients covered by other medical insurance.Hospital stay of elderly inpatients covered by NCMS was longer,the medical cost was higher,but the reimbursement wasn＇t higher.Their medical burden could be mitigated through improving the level of funding and increasing rural medical aid and the establishment of medical insurance system for the elderly.
出处
《中国农村卫生事业管理》
2013年第3期241-244,共4页
Chinese Rural Health Service Administration
基金
卫生部项目<全国新型农村合作医疗监测点数据项目>
关键词
新农合
老年人
次均住院费用
实际住院补偿比
new cooperative medical scheme
elderly
hospitalization cost
real hospitalization reimbursement rate
