某市新型农村合作医疗减轻农民疾病负担程度的评价  

Evaluation of the New Rural Cooperative Medical System in Relieving the Disease Burden on Farmers in One City

作　　者：许勇刚 毛勇[2] 罗家洪[2] 毕卫红 王瑛 常巍[2] 肖蕊 

机构地区：[1]昆明市卫生局,云南昆明650011 [2]昆明医学院公共卫生学院卫生统计学教研室,云南昆明650031

出　　处：《中国卫生质量管理》2009年第2期2-5,共4页Chinese Health Quality Management

基　　金：云南省自然科学基金项目(2004C0045M);昆明市卫生局科研基金项目(200605)

摘　　要：目的评价新农合减轻农民疾病负担的程度,探讨现存问题和解决办法,为相关部门完善新农合制度提供科学依据。方法采用收集现有数据和现场问卷调查相结合的方法。结果2006年度,昆明市参合率为90. 96%,门诊减免受益率为24.36%,住院补偿受益率为4.65%,各级医疗机构的住院实际补偿比均低于全省同期水平。参合后,家庭经济困难者的治疗方式并未发生明显改变(P>0.05)。近半数参合农民认为新农合一定程度上减轻了其疾病负担,但31.0%的家庭经济困难者认为该减轻程度很小(P<0.05)。结论新农合一定程度上减轻了农民的疾病负担,但同时也存在不少问题。建议全面开展门诊减免,适度提高住院补偿比例,以切实解决贫困农民看病就医问题。Objective Through evaluating the New Rural Cooperative Medical System（abbr. NRCMS） in relieving the disease burden on farmers, probing into the existing problems and the countermeasures, so as to provide scientific evidence for NRCMS improvement. Method We investigated the implementation of Kunming NRCMS in 2006 by collecting the existing data and questionnaires. Results In 2006, the participating rate was 90.96 %, the benefit rate of out--patients was 24.36 % and that of in--patients was 4. 65 %. The actual compensating ratios of hospitalization fee in various fixed-- point medical institutions in Kunming were lower than that of Yunnan. After participating NRCMS, the poor farmers still maintained their previous ways of medical treatment （P〉0.05）. Almost half of the participants thought that NRCMS could relieve the disease burden at a certain extent, but 31.0 % of the poor farmers thought that the effect was very little （P〈0.05）. Conclusions The disease burden on farmers had been relieved at a certain extent by the NRCMS. It was suggested that the reduction of outpatient fee be practiced roundly, the compensating ratios of hospitalization fee be raised moderately, the problems of the poor receiving medical treatment be solved practically.

关 键 词：新型农村合作医疗 农民 疾病负担 补偿比 

分 类 号：R195.4[医药卫生—卫生统计学] R197.1[医药卫生—卫生事业管理]