新型合作医疗实施后农村卫生机构服务效率的变化  

Effciency of health care of rural health organizations after the implementation of new type of CMS

作　　者：马丹[1] 周令[1] 任苒[1] 

机构地区：[1]大连医科大学管理学院,辽宁大连111027

出　　处：《中国农村卫生事业管理》2007年第7期487-490,共4页Chinese Rural Health Service Administration

摘　　要：目的:通过对某省三个新型农村合作医疗(以下简称"新农合")试点县3所县医院和7所乡镇卫生院的研究,比较在新农合实施前后服务能力和效率的变化情况,探讨新农合对农村卫生服务机构服务效率的影响。结果:新农合实施后县医院和乡镇卫生院的总体服务能力和服务效率均有不同程度的提高,即门诊和住院服务总量增加,每职工(或医生)年负担门诊和住院人次提高。乡镇卫生院次均费用有所提高,但服务效率仍处于较低水平。建议:新农合工作要与农村卫生服务体系建设相结合,逐步完善农村三级医疗保健网的建设。同时,农村卫生机构要更新观念,提高服务效率,降低服务成本,积极支持新农合制度的发展。ObjectivesThe delivery ability and efficiency of health care in county hospitals and township health centers in three counties of New Cooperative Medical System（＂NCMS＂） have been studied. Changes and influences were compared before and after the implementation of NCMS in those areas. ResultsThe total delivery ability and efficiency of county hospitals and township health centers have been improved to some extent after the implementation of NCMS. Namely the amount number of outpatients and inpatients service have been increased, yearly visits and inpatients per doctor have been enhanced as well. But the cost was increased and efficiency of township heath center was still at low level. Policy recommendation NCMS has to be unified with rural health service system, and rural three -level medical service network should be improved gradually. At the same time, the rural health organizations must renew their idea, enhances the service efficiency, reduces the service cost, and positively supports the development of New Cooperative Medical System.

关 键 词：新型农村合作医疗 农村卫生机构 服务效率 

分 类 号：R197.1[医药卫生—卫生事业管理]