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目的分析新型农村合作医疗住院患者费用及补偿情况,评价新农合制度在贵州的实施情况。方法采用分层整群抽样方法抽取贵州省6县,收集2013年新农合住院患者的费用及补偿报表,利用SPSS19.0软件进行统计分析。结果2013年6县总住院人次489 210人次,总住院率18.30%,平均住院费用2 553元,平均补偿费用1 475元,实际补偿比68.35%。患者性别、年龄、所在医院的级别、地区、就医机构的所有制性质、就医方式以及补偿方式等因素对住院患者的住院费用和补偿比有显著影响。结论需强化基层医疗机构诊疗能力,全面推广实施并细化单病种补偿模式,同时充分发挥民营医疗机构在新农合中的作用,促进新农合在贵州持续良性发展。
Objective To analyze the cost and compensation of inpatients in new rural cooperative medical system and evaluate the implementation of NCMS in Guizhou. Methods The stratified cluster sampling method was used to select 6 counties in Guizhou Province. The costs and compensation reports of patients admitted to NCMS in 2013 were collected and analyzed by SPSS19.0 software. Results In 2013, the total number of inpatients in 6 counties was 489,210, with a total hospitalization rate of 18.30%. The average hospitalization cost was 2,553 yuan, with an average compensation fee of 1,475 yuan, with an actual compensation rate of 68.35%. Patient’s gender, age, hospital level, region, ownership of medical institutions, medical treatment and compensation methods and other factors have significant impact on hospitalization costs and compensation rates. Conclusion It is necessary to strengthen the diagnosis and treatment ability of primary medical institutions, comprehensively promote the implementation and refinement of single disease compensation model, and give full play to the role of private medical institutions in NCMS to promote the sustainable development of NCMS in Guizhou.