西部民族地区新农合运行现状分析——以九寨沟县为例

发布时间：2018-03-13 14:25

本文选题：基层医疗服务能力　切入点：民族地区　出处：《卫生经济研究》2016年10期 　论文类型：期刊论文

【摘要】：以藏族聚居县——九寨沟县为研究对象,选取其2009-2014年59128例住院病例,对新农合参合、筹资、住院费用、病人流向等指标进行统计分析,并与四川省平均数据对比。结果显示,九寨沟县目前参合情况尚可,但资金使用率不稳定,次均住院费用上涨较快,县级住院实际补偿比偏低,县外就医负担较大。对此,应针对民族地区"地广人稀"的特点,提高统筹层次;采用分级诊疗、支付方式改革等措施控制医疗费用上涨;根据当地疾病谱加强民族地区基层医疗服务能力,切实提高参合农民医疗保障水平。
[Abstract]:Taking Jiuzhaigou County, a county inhabited by Tibetans, as the research object, 59128 hospitalized cases from 2009 to 2014 were selected, and the statistical analysis was carried out on the new rural cooperative participation, financing, hospital expenses and patient flow, and compared with the average data of Sichuan Province. Jiuzhaigou County is in a good situation at present, but the utilization rate of funds is unstable, the average hospitalization expenses are rising faster, the actual compensation ratio for county level hospitalization is on the low side, and the burden of seeking medical treatment outside the county is relatively large. In view of this, we should aim at the characteristics of "extensive land with few people" in ethnic minority areas. To improve the overall planning level; to adopt classified diagnosis and treatment, payment reform and other measures to control the rise of medical costs; to strengthen the capacity of primary medical services in ethnic areas according to the local disease spectrum, and to improve the level of medical security of participating farmers.
【作者单位】：四川大学华西公共卫生学院;四川省九寨沟县疾病预防控制中心;四川大学西部农村卫生发展研究中心;
【基金】：美国中华医学基金会项目“Supporting for West China Center for Rural health(12-106)
【分类号】：R197.1;F842.684;F323.89

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