新型农村合作医疗制度封顶线适合性的Monte Carlo模拟测评  

Application of Monte Carlo in Designing the Limit Line of New Rural Cooperative Medical System

作　　者：张爽爽[1] 吴茵茵[1] 吴建军[2] 郑卫军[1] 陈坤[1] 

机构地区：[1]浙江大学公共卫生学院,杭州310058 [2]浙江大学理学院,杭州310006

出　　处：《中国卫生经济》2008年第11期9-11,共3页Chinese Health Economics

摘　　要：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 design a reasonable and feasible limit line of new rural cooperative medical system. Methods Monte Carlo simulation was constructed based on the sampling survey. Results The decreased percentages of poverty caused by diseases were 0.684 9 and 0.576 2 when the limit of inpatient and outpatient compensation was set at 12.0 and 2.0 times of average annual income per farmer. Conclusions The optimal limit lines of .inpatient and outpatient compensation were 12.0 and 2.0 times of average annual income per farmer.

关 键 词：蒙特卡罗方法 新型农村合作医疗 补偿方案 封顶线 

分 类 号：R197.1[医药卫生—卫生事业管理]