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目的:分析调查地区新型农村合作医疗支付方式改革的控费效果,并深入分析影响因素。方法:全国新型农村合作医疗支付方式改革典型地区调查及数据分析。结果:调查地区支付方式改革对医疗费用的不合理增长起到了一定的控制作用,但受支付方式改革覆盖率、就医人次和医疗机构积极性等多方面因素影响。结论:应提高支付方式改革覆盖率,科学测算支付标准,提高医疗机构积极性,建立分级诊疗制度,吸引病人在基层医疗机构就医。
Objective: To analyze the control effect of the reform of the new rural cooperative medical payment system in the survey area and to analyze the influencing factors in depth. Methods: The survey and data analysis of the typical areas for the reform of the new rural cooperative medical system in China. Results: The reform of payment methods in the survey area has played a certain role in controlling the unreasonable increase of medical expenses, but it is affected by many factors such as the coverage of reform in payment methods, the number of medical attendances and the enthusiasm of medical institutions. Conclusion: We should increase the coverage rate of payment reform, scientifically calculate payment standards, improve the enthusiasm of medical institutions, establish a hierarchical medical treatment system and attract patients to seek medical treatment in primary medical institutions.