摘要
目的分析县域医疗服务共同体（以下简称医共体）和新型农村合作医疗（以下简称新农合）按人头总额预付制适配的实际效果。方法收集安徽省阜南县（2015年开展医共体，新农合按人头总额预付）和颍上县（非医共体）2014年至2016年的新农合运行数据，纵向比较阜南县实施医共体前后的效果，横向比较阜南县和颍上县实施医共体与否的效果。结果2014年至2016年阜南县新农合基金支出、住院人次、住院费用、住院补偿支出的县外占比逐年下降，县级占比逐年攀升。实施医共体后阜南县各项指标变化优于颍上县。结论县域医共体和新农合按人头总额预付制适配能够取得良好的实际效果。
Objective To analyze the performance of the combination of ＂ Countywide Medical Community＂ combine with ＂ Capitation Prepayment＂. Methods We collected the new rural cooperative medical system （NRCMS） data of Funan county （ with ＂ Countywide Medical Community＂ introduced in 2015, along with Capitation Payment） and Yingshang county （without ＂Countywide Medical Community＂ ）, both in Anhui province, from 2014 -2016. With such data, a longitudinal comparison was made on the performance of Funan ＂ Countywide Medical Community＂ before and after, and a horizontal comparison on Funan county and Yingshang county regarding the merits and weakness of the Community. Results 2014 - 2016 witnessed a year-by-year decline of the outside-county proportion of the expenditure, man-time of inpatients, hospitalization expenses and hospitalization reimbursement by NRCMS in Funan county, and an increase of such proportion within the county. Furthermore, these proportions of Funan county were better than those of Yingshang county, proving ＂ Countywide Medical Community＂ a success. Conclusions The performance of the combination of ＂ Countywide Medical Community＂ and ＂ Capitation Payment＂ proved a
出处
《中华医院管理杂志》
CSCD
北大核心
2017年第10期725-728,共4页
Chinese Journal of Hospital Administration
基金
国家卫生与计划生育委员会基层卫生司委托课题（2016-2018）
