中国农村居民重大疾病保障制度评价指标体系构建及运行效果分析——以东中西部101个医保统筹地区为例

发布时间：2018-04-19 21:03

本文选题：农村居民 + 大病保障　；参考：《南京农业大学学报(社会科学版)》2017年06期

【摘要】：本研究选择了东中西部6个省份的101个医保统筹地区,研究我国农村居民重大疾病保障制度的运行效果。基于德尔菲法和层次分析法建立了农村居民重大疾病保障制度评价指标体系,包括人口覆盖指标、筹资指标、基金支出指标、大病保障补偿指标和大病患者医疗费用指标,共分为5个一级指标,21个二级指标。采用层次分析法确定每个指标的权重,并对江苏、福建、安徽、湖南、内蒙古、四川农村居民重大疾病保障制度运行情况进行了评价。研究结果表明,筹资指标和大病保障补偿指标是影响农村居民重大疾病保障制度运行的两个特别关键因素,东中部地区的农村居民重大疾病保障制度的整体运行水平要高于西部地区。本研究为进一步完善农村居民重大疾病保障制度提供了相关实证依据。
[Abstract]:In this study, 101 medical insurance areas in 6 provinces in the east, middle and west regions were selected to study the operation effect of the major disease protection system in rural areas of China. Based on Delphi method and Analytic hierarchy process (AHP), the evaluation index system of rural residents' major disease security system is established, including population coverage index, financing index, fund expenditure index, serious illness guarantee compensation index and medical cost index for seriously ill patients. It was divided into 5 primary indexes and 21 secondary indexes. The weight of each index was determined by analytic hierarchy process (AHP), and the operating conditions of major disease guarantee system in Jiangsu, Fujian, Anhui, Hunan, Inner Mongolia and Sichuan were evaluated. The results show that the financing index and the compensation index for serious illness are two special key factors that affect the operation of the major disease guarantee system of rural residents. The overall operating level of the rural residents' major disease security system in the eastern and central regions is higher than that in the western region. This study provides relevant empirical evidence for the further improvement of rural residents' major disease protection system.
【作者单位】：南京大学卫生政策与管理研究中心;
【基金】：国家自然科学基金面上项目“城乡居民重大疾病保障制度模式;效应评估与对策研究”(71573118);国家自然科学基金面上项目“统筹城乡医疗保障制度对城乡居民健康及医疗利用的影响研究——基于自然实验框架下的分析”(71373102) 国家卫生计生委课题“农村居民重大疾病保障水平及评价指标体系研究”
【分类号】：F323.89;F842.684;R197.1

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