县级公立医院综合改革对新型农村合作医疗基金支付的影响研究

发布时间：2018-08-29 16:51

【摘要】：目的:县级公立医院综合改革成为我国公立医院改革的突破口,各项政策实施成效如何,成为评价本轮医改的主要着眼点,新型农村合作医疗基金的合理有效使用必将有力推动新医改的进程。方法:应用数学建模的方法对医院运行的历史数据实施政策模拟,测算县级公立医院综合改革措施在10个县级公立医院实施后,新型农村合作医疗基金对医院补偿支出的增减情况。结果:2010年到2012年的运行数据分析来看,有66.67%年次,新型农村合作医疗基金对公立医院补偿支出增加,共增加2 307.56万元,平均增加169.17万元。结论:综合改革政策实施后新型农村合作医疗基金对县级公立医院支出增减程度的影响因素主要是医院前期的药品加成比和基本药物销售总额在药物销售总额中的占比。
[Abstract]:Objective: the comprehensive reform of county-level public hospitals has become a breakthrough in the reform of public hospitals in China, and the effectiveness of various policies has become the main focus of evaluation of the current round of medical reform. The rational and effective use of the new rural cooperative medical fund will promote the process of the new medical reform. Methods: the method of mathematical modeling was used to simulate the historical data of hospital operation, and the comprehensive reform measures of county-level public hospitals were calculated after the implementation of the comprehensive reform measures in 10 county-level public hospitals. New rural cooperative medical fund to hospital compensation expenditure increases and decreases. Results: according to the operation data from 2010 to 2012, there were 66.67 years, the new rural cooperative medical fund increased the compensation expenditure to the public hospital, the total increase was 23.0756 million yuan, the average increase was 1.6917 million yuan. Conclusion: after the implementation of the comprehensive reform policy, the main influencing factors of the new rural cooperative medical fund on the increase and decrease of the expenditure of county-level public hospitals are the additive ratio of drugs in the early stage of the hospital and the proportion of the total sales of essential drugs in the total amount of drug sales.
【作者单位】：潍坊医学院;
【基金】：国家自然科学基金(71273191) 山东省自然科学基金项目(ZR2011GL012)
【分类号】：R197.1;F842.684;F323.89

【相似文献】