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目的:分析新型农村合作医疗总额预付制对次均住院补偿、住院补偿比、次均住院自付费用和住院自付比例的影响。方法:采用倍差法控制非干预因素,测算总额预付制的净影响。结果:新型农村合作医疗总额预付制使次均住院补偿下降了14.37元,但不具有统计学意义;住院补偿比上升了5.23个百分点,次均住院自付费用下降了141.51元,自付比例下降了5.23个百分点,均有统计学意义;对具体病种的影响存在差异。结论:新型农村合作医疗总额预付提高了住院受益程度,但因病种不同而不同,总额预付标准测算仍需科学化与合理化。
OBJECTIVE: To analyze the effect of the new rural cooperative medical system (CMS) pre-payment system on the average hospitalization compensation, hospitalization compensation rate, per capita hospitalization expenses and hospitalization expenses. Methods: Adopt double difference method to control non-intervention factors and measure net effect of total prepayment system. Results: The pre-payment system of new-type rural cooperative medical system reduced the average hospitalization compensation by 14.37 yuan, but it was not statistically significant; the hospitalization compensation ratio increased by 5.23 percentage points, the average cost of hospital outdated copay decreased by 141.51 yuan and the proportion of copayments decreased 5.23 percentage points, were statistically significant; the impact of specific diseases there are differences. Conclusion: The total amount of new rural cooperative medical care advances to improve the degree of hospitalization benefit, but different due to different diseases, the total prepayment standard calculation still need to be scientific and rationalization.