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目的:根据目前鄯善县新型农村合作医疗基金筹集及运行情况,重新调整参合农民住院起付线、封顶线及住院补偿比,在更大程度上扩大农民的收益面,提高参合农民的受益率,并为相关政府部门提供参考意见。方法:收集新疆维吾尔自治区鄯善县2006年10月—2006年12月参合农民住院费用统计报表,数据在Exce l电子表格中录入,利用SPSS11.0对数据进行统计分析,利用建立好的公式,计算出鄯善县参合农民住院费用的起付线、封顶线,及参合农民住院费用补偿比。结果:根据鄯善县筹资情况,将参合农民在乡级、县级及县级以上住院费用起付线分别设定为80元,100元,600元,封顶线设为15 000元,住院补偿比例乡级设为70%,县级及县级以上设为50%时,可以在更大程度上扩大农民受益面,并可减少筹集资金的过多沉淀。结论:实施新型农村合作医疗的试点县在自己基金筹集范围内,应该在保证基金不会“崩盘”和过多沉淀的基础上,提高参合农民住院费用的补偿比,提高参合农民的收益率,同时为了进一步促进新型农村合作医疗的快速健康发展,需要加强政府责任,充分维护参合农民的权利,为新型农村合作医疗的健康和快速发展提供一个较好的政治环境。
OBJECTIVE: According to the current situation of raising and operating the new rural cooperative medical fund in Shanshan County, readjust the ceiling line and inpatient compensation ratio of participating peasants, and expand the income of peasants to a greater extent so as to increase the benefit rate of participating peasants , And provide reference for relevant government departments. Methods: Collect statistical reports of farmers’ hospitalization costs in Shanshan County of Xinjiang Uygur Autonomous Region from October 2006 to December 2006. The data were entered in the Exce l spreadsheet. The data were analyzed by using SPSS11.0. Using the established formulas, Calculated Shanshan County participating peasant hospitalization costs starting line, capped line, and participating peasant hospitalization cost compensation ratio. Results: According to the fund-raising situation in Shanshan County, the starting-line fee for inpatients participating in peasants at the township level, county level and above was set at 80 yuan, 100 yuan and 600 yuan respectively, and the cap-line was set at 15,000 yuan. Hospitalization compensation When the ratio is set as 70% for the township level and 50% for the county level and above the county level, the farmer’s benefit can be expanded to a greater extent and the excessive precipitation of funds raised can be reduced. Conclusion: The pilot counties implementing the new rural cooperative medical system should raise the compensation ratio of participating farmers’ hospitalization expenses and increase the benefits of participating farmers within the scope of their own fund raising, on the basis that the guarantee fund will not be “collapsed” and excessive sedimentation At the same time, in order to further promote the rapid and healthy development of new-type rural cooperative medical services, it is necessary to strengthen the government’s responsibility to fully safeguard the rights of participating farmers and to provide a better political environment for the healthy and rapid development of new-type rural cooperative medical services.