华北新农合实施前后病员流向分布状况的研究  

The rural medical service requirement and medical service utilizing level before and after the implementation of new rural cooperative medical system in the north of Northern China

作　　者：苏峰[1] 孔繁增[2] 蒋贵昱[1] 崔志强[1] 梁占魁[1] 尹岭[3] 张亚松[1] 潘立明[1] 

机构地区：[1]河北北方学院附属第一医院,河北张家口075000 [2]河北北方学院,河北张家口075000 [3]中国人民解放军总医院医学信息情报所,北京100853

出　　处：《中国农村卫生事业管理》2009年第2期99-101,共3页Chinese Rural Health Service Administration

基　　金：国家科技部项目<国家医药卫生科学数据共享网农村节点建设>。(课题号:2005DKA32407-02)

摘　　要：目的:探讨不同地理区域、不同经济水平下的新农合的运行机制和发展方向。方法:以分层、整群抽样的方法观察450万人口范围内的新农合运行状况,统计对比当地实施新农合前后卫生服务利用程度的各项指标。结果:年住院率、两周就诊率、门诊分流构成、住院分流构成等各项卫生服务利用指标,较新农合实施前都有了明显的改善。结论:新农合的实施提高了农村居民的卫生服务利用程度,使农村居民就诊医院的层次重心下移,提高了乡镇卫生院的利用,缓解了城市大医院的压力。Objective To explore the running pattern and development trend on the new rural cooperative medical system in different areas and different economic conditions. Methods Medical and public health service utilizing levels between today and before were compared by observing the running state of the new rural cooperative medical system in 4.5 million population in the north of Northern China based on cluster sampling and stratified sampling. Results The annual hospitalization rate and the proportion of persons going to consult a doctor etc are all increasing obviously. Conclusion The new rural cooperative medical system improves medical and public health service utilizing level,and release the pressure of city hospitals.

关 键 词：医疗保障制度 医疗卫生服务 新型农村合作医疗 

分 类 号：R197.1[医药卫生—卫生事业管理]