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目的:本研究从需方角度分析新型农村合作医疗按人头支付改革实施的效果,为进一步完善“按人头支付”改革提供依据。方法:采用描述性分析比较2011年和2012年按人头支付改革前后参合农民受益面、受益程度、医疗费用负担及抗风险能力等指标;采用问卷调查研究浦东新区33家社区卫生服务中心参合农民改革前后的满意度情况。结果:新型农村合作医疗按人头支付改革后,参合农民受益率和住院受益程度在一定程度得到提高,参合农民费用负担及其抗疾病风险的能力得到一定程度的改善和提高,同时按人头支付改革的推进并降低参合农民的满意度。结论:按人头支付改革在一定程度上降低了参合农民的就医经济风险,改革的长期效果有待继续研究深入。
OBJECTIVE: This study analyzes the effect of reform of new-type rural cooperative medical services paid by individuals from the demand side and provides the basis for further perfecting the reform of “pay according to one’s head”. Methods: Descriptive analysis was used to compare the benefits, benefits, medical costs and risk-resistance of peasants before and after the reform in 2011 and 2012. A questionnaire survey was conducted on 33 community health service centers in Pudong New Area for peasant reform Before and after the satisfaction of the situation. Results: After the reform of new-type rural cooperative medical system, the participation rate of beneficiaries and hospitalization benefited to a certain extent, and the burden of participating farmers and their ability to resist disease risks were improved and improved to a certain extent, Advance and reduce the satisfaction of participating farmers. Conclusion: Pay-per-head payment reform has reduced the participation of peasants in seeking medical treatment to a certain extent, and the long-term effect of reform needs to be further studied.