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[目的]掌握新农合住院补偿基金使用情况,探讨参合农民住院费用变化情况,为政府部门制定政策提供参考。[方法]采用随机抽样的方法,随机抽取新郑市、新密市、中牟县3个县作为样本县。对3个样本县2007～2008年新农合运行情况进行分析,了解其参合情况、农民受益情况、住院费用及费用补偿等情况。[结果]2008年3个新农合县参合率为98.98%,较2007年的97.72%增加了1.26%;住院总受益率从2007年的6.65%提高到2008年的7.03%;2008年3个县次均住院费用较2007年增加了29.11%,其中各级医疗机构次均住院费用以乡镇卫生院增长最快,增长率达到45.51%。[结论]农民对新农合的信任度在逐渐增强,参合积极性在不断提高,但参合农民住院补偿水平较低,次均住院费用增长过快,应采取措施,控制费用的过快增长,提高农民受益水平。
[Objective] To master the use of compensation fund for NCMS inpatients, investigate the changes of hospitalization fees for farmers and provide references for government departments to formulate policies. [Methods] Random sampling method was used to randomly select three counties of Xinzheng, Xinmi and Zhongmu as sample counties. Analyze the operation of the NCMS in three sample counties from 2007 to 2008 to find out the conditions of their participation, the benefit of farmers, the cost of hospitalization and the compensation for expenses. [Results] The participation rate of three new rural cooperative medical institutions in 2008 was 98.98%, an increase of 1.26% compared with 97.72% in 2007; the total hospitalization rate increased from 6.65% in 2007 to 7.03% in 2008; and in 2008, three The average cost of hospitalization in the county increased by 29.11% compared with that in 2007, of which the average hospitalization expense of medical institutions at all levels grew fastest with township hospitals, with the growth rate reaching 45.51%. [Conclusion] The peasants ’trust in NRCMS is gradually increasing, and the enthusiasm for joining is increasing. However, the participating peasants’ hospitalization level is relatively low and the per capita hospitalization expenses increase excessively. Measures should be taken to control the excessive growth of expenses and increase Farmers benefit level.