某县新型农村合作医疗次均住院费用级差管理模式构建

发布时间：2018-04-25 01:16

本文选题：新型农村合作医疗 + 住院次均费用　；参考：《郑州大学》2014年硕士论文

【摘要】：目的本研究旨在通过对河南省武陟县多年来新农合基金运行情况进行调查，了解武陟县各乡镇卫生院住院次均费用以及存在的问题，分析各乡镇卫生院住院次均费用总结其规律，然后依据规律建立住院次均费用级差管理模式，为降低住院次均费用、提高群众的实际补偿率、保证新农合基金的安全提供技术支持。方法本研究运用文献回顾法和头脑风暴法制定科学严谨的研究方案，设计出年位次选票。以选票为调查工具调查了河南省武陟县24家县乡两级医疗机构的年位次以及住院次均费用，通过方差分析、一元线性回归分析等方法分析河南省武陟县24家县乡两级医疗机构的年位次变化规律、住院次均费用与位次的关系、住院次均费用与实施年限的关系。结果 1.乡镇卫生院年次均费用的位次变化不大，且不十分显著，可以忽略此因素造成的影响。 2.乡镇卫生院的年次均费用与位次显著相关，且呈线性分布。乡镇卫生院年次均费用与位次变化规律统计结果：（以2010年为例）该例中的判定系数为0.9504。 3.乡镇卫生院的年次均费用与实施年限之间关系的统计结果：乡镇卫生院的年次均费用随年份增高而增高，并线性相关 4.乡镇卫生院的年次均费用数学模型:乡镇卫生院的次均住院费用＝1259.5＋83.8×实施年限－61.3×位次结论 1.本研究通过对河南省武陟县乡镇卫生院次均住院费用情况统计分析，建立了新型农村合作医疗次均费用级差管理模式并投入运行。 2.运行期间达到初步的效果。在达到一定成效的同时，，此模型也暴露了没有规避人为因素、考虑不全面等一些问题。 3.针对出现的问题，本研究采取了一系列措施，对新型农村合作医疗次均住院费用级差管理的模式修订如下：某个医院的住院次均费用=该医院的综合级别×级别级差+年限×年级差+该医院的实际补偿比×补比级差+为该医院的大病住院率×大病级差。
[Abstract]:Purpose The purpose of this study is to investigate the operation of the New Rural Cooperative Fund in Wuzhi County, Henan Province for many years, to understand the average hospitalization cost and the existing problems of the township health centers in Wuxian County, and to analyze the regularity of the average hospitalization expenses of the township hospitals. Then, according to the rule, the management model of average cost of hospitalization is established to provide technical support for reducing the average cost of hospitalization, improving the actual compensation rate of the masses and ensuring the safety of the new rural cooperative fund. Method This study uses literature review method and brainstorming method to formulate scientific and rigorous research programs and design annual votes. The annual ranking and average cost of hospitalization of 24 medical institutions in Wuzhi County, Henan Province, were investigated by means of ballot papers, and the variance analysis was carried out. Univariate linear regression analysis and other methods were used to analyze the changes of annual order of medical institutions in 24 counties and townships in Wuzhi County, Henan Province, the relationship between the average cost of hospitalization and rank, and the relationship between the average cost of hospitalization and the number of years of implementation. Result 1. The rank of annual average cost of township health centers is not significant and the influence of this factor can be ignored. 2. The annual average cost of township hospitals was significantly correlated with rank, and was linearly distributed. Statistical results of annual average cost and rank change of township health centers. The result is: (take 2010 as an example) the judgment coefficient of this case is 0.9504. 3. Statistical results of the relationship between the annual average cost and the years of operation of the township health centers: the annual average cost of the township hospitals increases with the increase of the year, and is linearly correlated with the years. 4. Mathematical model of annual average cost of township health center: average hospitalization cost of township health center: 1259.5 + 83.8 脳 years of implementation -61.3 脳 order Conclusion 1. Based on the statistical analysis of the average hospitalization expenses of the township health centers in Wuzhi County, Henan Province, the management model of the new rural cooperative medical system was established and put into operation. 2. Initial effect is achieved during operation. At the same time, the model also exposes some problems, such as not avoiding human factors and considering comprehensively. 3. In view of the problems, this study has taken a series of measures, The model of average hospitalization cost difference management for the new rural cooperative medical system is revised as follows: the average hospitalization cost of a hospital is equal to the general grade 脳 grade difference years 脳 year difference of the hospital, and the actual compensation ratio of the hospital is 脳. The difference of complementary ratio is the rate of hospitalization of serious illness and the difference of grade of serious illness in this hospital.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R197.1;F842.684;F323.89

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