从多角度对永泰县新农合医疗费用的统计分析与预测
发布时间：2018-08-21 12:03
【摘要】：新型农村合作医疗(以下简称“新农合”)是实行门诊统筹与住院统筹相结合的农村居民基本医疗保障制度.至2013年该制度已基本覆盖全国各地农村居民,并且全面推行大病医保试点工作,建立更加公平可持续的社会保障制度.然而如何根据各地具体情况,制定有效的新农合基金补偿机制,较精细地预测本地区新农合参保人员未来周期的各种医疗费用,以及通过运行过程及时监测和控制不合理费用增长是各地方政府以及新农合基金管理者亟待解决的问题. 本文试图用统计学原理和方法对2007年～2013年福建省永泰县新农合基金运行数据从性别、年龄、季节、疾病类型等多个视角对住院报销人数、总住院费用进行统计分析与预测；用聚类分析对不同区域报销特点相似性进行探索.最后根据分析所得到的结果,对永泰县新农合基金管理等提出参考建议,希望能够为管理者作决策时提供科学参考与借鉴.
[Abstract]:The New Rural Cooperative Medical system (hereinafter referred to as "New Rural Cooperation") is a basic medical security system for rural residents. By 2013, the system has basically covered rural residents in all parts of the country, and the pilot work of health insurance for serious illness has been carried out in an all-round way, and a more equitable and sustainable social security system has been established. However, how to formulate an effective NRCF compensation mechanism according to the specific conditions in various regions, and more accurately predict the various medical costs of the NRCC insured personnel in the region in the future cycle, And timely monitoring and control of unreasonable cost growth through the operation process are the urgent problems to be solved by the local governments and the managers of the new rural cooperative fund. This paper attempts to use the statistical principle and method to analyze and predict the total hospitalization expenses and the number of inpatient reimbursement from gender, age, season, disease type and so on from the perspective of gender, age, season, disease type and so on, from 2007 to 2013 in Yongtai County, Fujian Province. The similarity of reimbursement characteristics in different regions was explored by cluster analysis. Finally, according to the results of the analysis, this paper puts forward some suggestions for the management of the new rural cooperative fund in Yongtai County, hoping to provide scientific reference and reference for the managers when making decisions.
【学位授予单位】：福建师范大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：F842.684;F323.89;R197.1
本文编号：2195661
[Abstract]:The New Rural Cooperative Medical system (hereinafter referred to as "New Rural Cooperation") is a basic medical security system for rural residents. By 2013, the system has basically covered rural residents in all parts of the country, and the pilot work of health insurance for serious illness has been carried out in an all-round way, and a more equitable and sustainable social security system has been established. However, how to formulate an effective NRCF compensation mechanism according to the specific conditions in various regions, and more accurately predict the various medical costs of the NRCC insured personnel in the region in the future cycle, And timely monitoring and control of unreasonable cost growth through the operation process are the urgent problems to be solved by the local governments and the managers of the new rural cooperative fund. This paper attempts to use the statistical principle and method to analyze and predict the total hospitalization expenses and the number of inpatient reimbursement from gender, age, season, disease type and so on from the perspective of gender, age, season, disease type and so on, from 2007 to 2013 in Yongtai County, Fujian Province. The similarity of reimbursement characteristics in different regions was explored by cluster analysis. Finally, according to the results of the analysis, this paper puts forward some suggestions for the management of the new rural cooperative fund in Yongtai County, hoping to provide scientific reference and reference for the managers when making decisions.
【学位授予单位】：福建师范大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：F842.684;F323.89;R197.1
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