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目的:针对实施国家基本药物制度后新型农村合作医疗资金的使用情况变化,提出相应的监管对策。方法:统计和分析实施国家基本药物制度后共4个月新型农村合作医疗资金的使用情况,并与实施前的同期进行比较。结果:门诊报销增加了91 625人次,同比增长59.7%;报出资金增加了137.6万元,同比增长57.4%。住院报销增加了840人次,同比增长23.8%;报出资金增加了552.5万元,同比增长53.7%;人均住院报销金额出现明显增加,同比增加了704.1元,增幅为24.2%。结论:实施国家基本药物制度后,新型农村合作医疗报销人次大幅增加,资金使用量增加明显,需及时出台相应的监管对策,以保证资金使用的合理、科学与安全,更好地保障农民获得基本医疗保健服务。
OBJECTIVE: To address the changes in the use of new rural cooperative medical funds after the implementation of the national essential drug system, and to put forward corresponding regulatory measures. Methods: Statistics and analysis of the use of new rural cooperative medical care funds after 4 months of implementation of the national essential drug system were compared with those of the same period prior to the implementation. Results: Outpatient reimbursement increased by 91 625 person-times, an increase of 59.7% over the same period of last year; the reported capital increased by RMB1.376 million with a year-on-year increase of 57.4%. Hospital reimbursement increased 840 person-times, an increase of 23.8%; reported funds increased 5.525 million yuan, an increase of 53.7%; per capita hospital reimbursement increased significantly, an increase of 704.1 yuan, an increase of 24.2%. Conclusion: After the implementation of the national essential drug system, the number of reimbursement for new-type rural cooperative medical services has increased substantially and the amount of funds used has increased significantly. Relevant regulatory measures need to be promulgated in time to ensure that funds are used rationally, scientifically and safely, and better guarantee farmers’ access to basic Health care services.