福建省新型农村合作医疗制度全民健康覆盖程度的定量研究

发布时间：2018-05-30 17:06

本文选题：社会保障 + 新型农村合作医疗制度　；参考：《中国全科医学》2017年35期

【摘要】：目的定量测量2011—2015年福建省新型农村合作医疗(以下简称新农合)制度全民健康覆盖程度,分析其发展趋势。方法于福建省新农合监测数据信息平台、福建省卫生和计划生育委员会网站以及《福建省卫生统计年鉴》《福建省卫生统计汇编》摘取2011—2015年福建省新农合制度有关数据,包括县域内参合率、住院构成比、住院实际补偿比、药品目录和诊疗目录。采用乘法模型评价全民健康覆盖程度,并通过改变各指标的不同取值,分析影响全民健康覆盖得分的因素。结果 2011—2015年福建省农村居民新农合参合率逐年递增,且均达99.00%以上;县域内住院构成比呈波动下降趋势;住院实际补偿比呈波动上升趋势。2011—2015年福建省新农合药品目录和诊疗目录保障水平未发生明显变化,分别稳定在52.00%~55.00%和76.00%~78.00%,处于缓慢发展阶段。乘法模型显示,2011—2015年福建省新农合全民健康覆盖得分分布于1.19~1.57分,呈现逐年递增趋势,但增加幅度不明显,发展缓慢。若2015年福建省新农合参合率为100.00%,住院构成比提高至85.00%,药品目录和诊疗目录保障水平以及住院实际补偿比均提高至80.00%,则新农合全民健康覆盖得分可达2.37分,提高了50.82%。结论 2011—2015年福建省新农合全民健康覆盖已达到中等水平,但发展速度较为缓慢,多维度指标联动对提高全民健康覆盖效果更为明显。
[Abstract]:Objective to measure the health coverage of the new rural cooperative medical system (NCMS) in Fujian province from 2011 to 2015 and analyze its development trend. Methods the data of Fujian New Agricultural Cooperation Surveillance data platform, the website of Fujian Health and Family Planning Commission and the Health Statistics Yearbook of Fujian Province from 2011 to 2015 were collected from the information platform of new agricultural cooperation surveillance data of Fujian Province, the website of Fujian Provincial Health and Family Planning Commission and the Collection of Health Statistics of Fujian Province. It includes county participation rate, hospitalization composition ratio, hospitalization actual compensation ratio, drug catalogue and diagnosis and treatment catalogue. The multiplicative model was used to evaluate the health coverage of the whole population, and by changing the different values of each index, the factors affecting the health coverage score of the whole population were analyzed. Results from 2011 to 2015, the participation rate of rural residents in Fujian Province increased year by year, and reached more than 99.00%. The actual compensation ratio in hospital showed an upward trend. The guarantee level of NCMS drug catalogue and diagnosis and treatment catalogue in Fujian Province from 2011 to 2015 did not change obviously, which were stable at 52.00% 55.00% and 76.00% 78.00%, respectively, and were at the stage of slow development. The multiplicative model showed that the health coverage score of Fujian New Rural Cooperation (NCMS) from 2011 to 2015 was 1.19 ~ 1.57, which showed an increasing trend year by year, but the increase was not obvious and the development was slow. If the participation rate of NCMS in Fujian Province is 100.00g in 2015, the hospitalization composition ratio is increased to 85.00, the guarantee level of drug catalogue and diagnosis and treatment catalogue and the actual compensation ratio of hospitalization are all increased to 80.000.57, the national health coverage score of NCMS can reach 2.37 points, which increases 50.82%. Conclusion the health coverage of the whole population in Fujian Province from 2011 to 2015 has reached a medium level, but the speed of development is relatively slow, and the effect of multi-dimensional index linkage on the improvement of health coverage of all people is more obvious.
【作者单位】：福建医科大学公共卫生学院;
【基金】：2015年福建省软科学基金项目(2015R0033) 2011年福建省教育厅社会科学重点研究项目(JA11151S)
【分类号】：F323.89;F842.684;R197.1

【相似文献】