论文部分内容阅读
目的分析不同门诊补偿模式的实施效果,探索合理完善的门诊补偿方案和监督管理办法。方法利用问卷调查数据,分析10个试点县门诊统筹实施情况,并与10个家庭账户补偿模式县的结果相比较,评价其实施效果,提出相应政策建议。结果门诊统筹补偿模式与家庭账户补偿模式相比,受益面明显提高;门诊基金支出占基金总支出的比例有所提高;门诊次均费用大幅降低;有更多的门诊病人流向村卫生室;监管更加困难。结论门诊统筹模式更有利于参合农民有效利用门诊卫生服务,但监管难度增加;门诊统筹的可持续发展有赖于合理的补偿方案和严格有效的监管措施。
Objective To analyze the implementation effect of different outpatient compensation modes and explore rational outpatient compensation programs and supervision and management methods. Methods The questionnaire survey data were used to analyze the overall implementation of outpatient clinics in 10 pilot counties and compared with the results of 10 county families in compensation mode. The effectiveness of the evaluation was evaluated and corresponding policy recommendations were made. Results As compared with family compensation model, the outpatient co-ordinated compensation model significantly improved the benefit coverage; the proportion of out-patient fund expenditures in total fund expenditure increased; the out-patient average cost dropped significantly; more outpatients went to village clinics; more difficult. Conclusions The outpatient co-ordination model is more conducive to participating farmer to make effective use of outpatient health services, but the supervision is more difficult. The sustainable development of co-ordinating outpatient services depends on reasonable compensation programs and strict and effective regulatory measures.