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目的:了解丹江口市2003-2007年新型农村合作医疗资金使用情况,发现存在的问题,为新型农村合作医疗制度的可持续发展提供参考意见。方法:利用2003-2007年丹江口市新型农村合作医疗资金的有关数据分析并纵向比较。结果:在前后5个运行周期内,丹江口市新型农村合作医疗资金平均使用率77.7%±10.6%,其中95%~99%用于住院和门诊费用的补偿支出;从2004年到2007年,次均住院补偿费用和补偿比基本呈上升趋势,每千名参合农民住院补偿40人次以上,门诊补偿呈下降趋势,次均门诊补偿费用超过20元,补偿比在80%左右。2006年乡镇卫生院、县级和县以上医院住院补偿比分别为22.87%、38.37%、50.41%。结论:需要提取风险准备金和继续加强对体检的投入;增加对慢性病病人的门诊补偿等补偿项目;建立家庭账户的管理信息系统,加强对村卫生室的药品监督。
Objective: To understand the use of new rural cooperative medical care in Danjiangkou City during 2003-2007 and find out the existing problems, so as to provide reference for the sustainable development of new rural cooperative medical system. Methods: The data of new rural cooperative medical care in Danjiangkou City from 2003 to 2007 were analyzed and compared longitudinally. Results: The average utilization rate of new-type rural cooperative medical care in Danjiangkou City was 77.7% ± 10.6% during the five operational cycles before and after, 95% -99% of which were spent on compensation for hospitalization and outpatient expenses. From 2004 to 2007, Inpatient compensation and compensation rates were basically on the rise, with more than 40 inpatients compensated for more than 40 visits per 1,000 participating farmers. Out-patient compensation tended to decline. Out-patient out-patient compensation exceeded 20 yuan and the compensation ratio was around 80%. In 2006, the remuneration ratios of hospitals in township hospitals, county hospitals and above were 22.87%, 38.37% and 50.41% respectively. Conclusion: The need to extract risk reserves and continue to strengthen the physical examination of the input; increase outpatient compensation for chronic diseases patients and other compensation items; the establishment of family accounts management information system to strengthen the supervision of village clinics.