新农合医疗费用增长结构分析:动因与差异化策略
发布时间：2018-08-26 09:11
【摘要】：新农合医疗费用的快速增长引起了广泛关注。本文利用江西省87个县2008—2010年数据,基于SDA结构分解方法将新农合费用增长分解为规模效应、流动效应以及费用膨胀效应,对新农合医疗费用增长的动因及其一般规律进行分析。研究发现,2009年江西省新农合费用增长主要是因为新增住院次数的增加,反映出医疗需求的释放;2010年住院费用大幅上涨则更多体现在流动效应和费用膨胀效应的增加,反映出参合农民医疗需求层次的提高;收入水平、次均住院费用大小及其偏离度是影响新农合费用增长结构的主要因素。研究结论表明,现阶段新农合医疗费用控制制度应体现差异化,县级医疗重在费用控制,乡级医疗重在提升服务水平和医疗质量。
[Abstract]:The rapid increase in medical expenses of NCMS has attracted wide attention. Based on the data of 87 counties in Jiangxi Province from 2008 to 2010, the cost growth of NCMS is decomposed into scale effect, flow effect and cost expansion effect based on SDA structure decomposition method. This paper analyzes the causes and general rules of the increase of medical expenses in NCMS. The study found that the increase in the cost of NCMS in Jiangxi Province in 2009 was mainly due to the increase in the number of new hospitalizations, which reflected the release of medical needs; the sharp increase in hospitalization costs in 2010 was more reflected in the increase of the flow effect and the cost expansion effect. The level of income, average hospitalization cost and its deviation are the main factors that influence the structure of new rural cooperative expenses. The research results show that the new rural cooperative medical expense control system at present should reflect the differentiation, the county level medical treatment should focus on the cost control, the township level medical treatment should enhance the service level and the medical treatment quality.
【作者单位】： 江西理工大学应用科学学院;江西理工大学经济管理学院;
【基金】：2013年江西省高校人文社会科学研究项目“江西省新型农村合作医疗制度费用控制机制研究”(编号:jj1346)阶段性成果之一
【分类号】：F842.6;F323.89;F224
[Abstract]:The rapid increase in medical expenses of NCMS has attracted wide attention. Based on the data of 87 counties in Jiangxi Province from 2008 to 2010, the cost growth of NCMS is decomposed into scale effect, flow effect and cost expansion effect based on SDA structure decomposition method. This paper analyzes the causes and general rules of the increase of medical expenses in NCMS. The study found that the increase in the cost of NCMS in Jiangxi Province in 2009 was mainly due to the increase in the number of new hospitalizations, which reflected the release of medical needs; the sharp increase in hospitalization costs in 2010 was more reflected in the increase of the flow effect and the cost expansion effect. The level of income, average hospitalization cost and its deviation are the main factors that influence the structure of new rural cooperative expenses. The research results show that the new rural cooperative medical expense control system at present should reflect the differentiation, the county level medical treatment should focus on the cost control, the township level medical treatment should enhance the service level and the medical treatment quality.
【作者单位】： 江西理工大学应用科学学院;江西理工大学经济管理学院;
【基金】：2013年江西省高校人文社会科学研究项目“江西省新型农村合作医疗制度费用控制机制研究”(编号:jj1346)阶段性成果之一
【分类号】：F842.6;F323.89;F224
【参考文献】
相关期刊论文 前7条
1 刘保s，
本文编号：2204394
本文链接：https://www.wllwen.com/jingjilunwen/bxjjlw/2204394.html
