摘要
目的:比较不同新农合方案下住院补偿效果,并提出改进建议。方法:对江苏省6个地区的住院补偿情况进行比较与分析。结果:个别地区基金使用率偏低;更多的住院患者和补偿基金流向高级别医疗机构;部分地区医疗费用偏高;医疗保障水平偏低。结论:科学测算补偿比例;适当拉开不同级别医院补偿的差距;合理设置费用段;加大基本药物和中医药服务的补偿力度。
Objective To compare the effects of different hospital compensation projection of New Rural Cooperative Medical System and put forward the countermeasures to improve the schemes.Methods To compare and analyze the status quo of hospital compensation of six districts in Jiangsu province.Results The utilization rate of funds is low in a district.More inpatients and funds flow into the high-level medical institutions.The medical fees are high in some districts.The level of medical security is low.Conclusions The compensation proportion should be calculated scientifically.It is to enlarge the gap of compensation between different level hospitals.The segmentation of medical fees should be set up rationally. It is to improve the compensation proportion of the basic medicine and the traditional Chinese medicine services.
出处
《中国卫生事业管理》
北大核心
2014年第8期616-618,621,共4页
Chinese Health Service Management
基金
江苏省高校哲学社会科学研究基金项目"探索建立新型农村合作医疗合理补偿机制的研究"(编号:2010SJB840011)
关键词
新型农村合作医疗
住院补偿
效果
New Rural Cooperative Medical System
hospital compensation
effect