新型农村合作医疗定点医疗机构不规范行为现况研究  

CROSS-SECTIONAL STUDY ON THE UNREGULATED ACTIONS IN THE APPOINTED MEDICAL INSTITUTIONS OF NEW RURAL CMS

作　　者：吴晓红[1] 江启成[1] 秦其荣[2] 

机构地区：[1]安徽医科大学卫生管理学院 [2]安徽医科大学公共卫生学院,合肥230032

出　　处：《现代预防医学》2007年第9期1604-1606,共3页Modern Preventive Medicine

基　　金：安徽省农村合作医疗管理办公室;安徽省卫生Ⅷ项目领导小组办公室"安徽省新型农村合作医疗(农村卫生)应用性研究课题"资助项目(AH-2006-05)

摘　　要：[目的]分析不规范行为的分布,为加强新农合定点医疗机构监管提供决策依据与参考。[方法]按病种抽查样本县(市)、乡级定点医疗机构住院参合与非参合病例,判断与分析存在的不规范行为。[结果]不规范行为中用药过度与自立项目收费占抽查病例数的56%;参合病例收费不规范行为多于非参合病例;县级医院病例用药不规范与收费不规范行为高于乡级医院。[结论]不规范行为中以用药过度与自立项目收费最多见,定点医疗机构的不规范行为因就诊对象、主体不同而有一定差别。[Objective] To analyze the distribution of the unregulated actions, and offer some evidences to strengthen the supervision to appointed medical institutions of new rural CMS. [Methods] Participated and non-participated cases were selectively examined according to the types of diseases in the sample hospitals of the country and county to analyze and judge the existing unregulated actions. [ Results] Excessive medicine application and unapproved charges accounted for 56% of the cases selectively-examined. The number of participated cases＇ unregulated actions were more than that of non-partcipated cases. The number of unregulated actions in the counties was more that, that in countries. [Conciusion] Excessive medicine application and unapproved charges are the mostly common unregulated actions. The unregulated actions in appointed hospitals differ from each other due to the different patients and cases.

关 键 词：新型农村合作医疗 定点医疗机构 不规范行为 

分 类 号：R197.1[医药卫生—卫生事业管理]