文章摘要
陈小娟,王 振,陈家应.江苏省某市2008~2010年新农合基金运行及住院情况分析[J].南京医科大学学报(社会科学版),2012,(2):102~106
江苏省某市2008~2010年新农合基金运行及住院情况分析
Investigation of the fund operation and the cost of hospitalization of new rural cooperative medical scheme of the city in Jiangsu
投稿时间:2012-02-03  
DOI:10.7655
中文关键词: 新农合  基金运行  住院费用
英文关键词: new rural cooperative medical scheme  fund operation  cost of hospitalization
基金项目:
作者单位
陈小娟 南京医科大学医政学院,江苏 南京 210029 
王 振 高邮市卫生局,江苏 高邮 225000 
陈家应 南京医科大学医政学院,江苏 南京 210029 
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中文摘要:
      目的:了解江苏省某市2008~2010年新农合基金运行状况和住院情况,提出促进新农合可持续发展的政策建议?方法:收集相关资料,应用统计学描述和关键知情人访谈法?结果:研究地区新农合整体运行状况良好,但仍需研究和解决政策及管理方面存在的一些问题:如筹资时间与方案调整不够同步;县外医疗机构住院费用高;目录外用药及项目费用偏高;人口老龄化对新农合影响较大?结论:研究地区新农合需建立稳定的筹资机制;及时调整补偿方案;加大对医疗机构的监管?完善绩效考核;加强支付改革?完善转诊制度;加强基层医疗卫生机构建设?
英文摘要:
      Objective: To put forward some suggestions about the sustainable development of new rural cooperative medical scheme(NRCMS) according to the fund operation and the cost of hospitalization of NRCMS of the certain city in Jiangsu province from 2008 to 2010. Methods:Relevant data were collected,and statistic descriptions and key informants interviews were applied. Results:The overall operation of NRCMS was in good condition,but some problems about policies and management still existed:the time of raising money and adjusting scheme was not match;the cost of hospitalization in city hospital was high;the cost of medicine and material outside the reimbursement directory was much too high;the aging of population influenced the operation of NRCMS. Conclusion:The research area should take some measures to solve the problems,establish stable financing mechanism,adjust the scheme of compensating timely,continue the supervision and payment scheme reform of medical institutions,improve the performance appraisal and the referral system,strengthen the construction of grassroots medical institutions.
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