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目的:设置合理可行的新型农村合作医疗制度封顶线。方法:在大样本量的人群抽样调查基础上,以MonteCarlo抽样模拟技术对新型农村合作医疗制度的补偿方案进行报销封顶线的适合性分析。结果:住院报销封顶线与门诊报销封顶线分别为人均年收入的12.0倍与2.0倍时,致贫人数减少率分别为0.6849与0.5762。结论:住院报销封顶线与门诊报销封顶线的最佳设置为人均年收入的12.0倍与2.0倍。
Objective: To set up a reasonable and feasible new rural cooperative medical system. Methods: On the basis of a sample survey of large sample populations, the Monte Carlo sampling simulation technique was used to analyze the suitability of the compensation package for the new rural cooperative medical system. Results: When the ceiling for hospitalization reimbursement and the ceiling line for outpatient reimbursement were 12.0 times and 2.0 times of the per capita annual income, respectively, the rate of reduction of the number of people suffering poverty was 0.6849 and 0.5762 respectively. Conclusion: The best setting for the top-line reimbursement for hospitalization and the top-line for out-patient reimbursement is 12.0 and 2.0 times the per capita annual income.