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目的:根据2007年28个重点联系城市社区卫生服务基线调查的数据,分析城市医疗保险的补偿对社区卫生服务中心经济收入的影响力。结果:1048个有门诊医保收入的中心:平均每中心年门诊医保收入占年总收入的10.70%,年门诊医保收入占年门诊总收入的17.64%;444个有住院医保收入的中心:平均每中心年住院医保收入占年总收入的6.88%,年住院医保收入占年住院总收入的33.53%。东、中、西部中心的门诊医保补偿水平之间和住院医保补偿水平之间的差异无统计学意义。结论:城市医疗保险的补偿对调查中心的经济收入的影响力较小,二者目前是低水平上的结合。建议:加大对中心的门诊医保补偿力度,增加医保补偿在其收入中所占的比重。
OBJECTIVE: To analyze the influence of urban medical insurance compensation on the economic income of community health service centers based on the data from 28 key contact urban community health service survey in 2007. Results: 1048 centers with out-patient medical insurance income: the average annual out-patient medical insurance income per center accounted for 10.70% of the total annual income and the annual out-patient medical insurance income accounted for 17.64% of the total annual out-patient income; 444 centers with in-hospital medical insurance income: The annual hospitalization income in the center accounts for 6.88% of the total annual income, and the annual hospital medical insurance income accounts for 33.53% of the total annual hospitalization income. There was no significant difference between the level of out-patient medical insurance compensation in the eastern, central and western centers and the level of in-patient medical insurance compensation. Conclusion: The compensation for urban medical insurance has a small influence on the economic income of the investigation center, and the two are currently at a low level. Suggestions: Increase the out-patient medical insurance compensation of the center and increase the proportion of medical insurance compensation in its income.