新型农村合作医疗制度下乡村两级医疗机构门诊处方费用研究  

Analysis of the Fees of the Out-patient Prescriptions of the Rural Medical Institutions under the New Cooperative Medical Scheme

作　　者：赵明[1] 陶洁[1] 江震[1] 江启成[1] 

机构地区：[1]安徽医科大学卫生管理学院,合肥230032

出　　处：《中国卫生经济》2010年第6期34-36,共3页Chinese Health Economics

基　　金：安徽省国际科技合作资助项目(06088025)

摘　　要：目的:探讨新型农村合作医疗制度实施前后门诊处方费用的变化趋势。方法:通过现场调查机构资料,对1997—2006年某县乡村两级医疗机构门诊处方费用进行描述性分析以及干预对照分析。结果:(1)乡镇卫生院门诊处方平均费用高于村卫生室。(2)门诊平均处方费用呈现快速增加趋势,而且实施新型农村合作医疗制度乡镇的门诊处方平均费用高于对照乡镇。(3)0～14岁、25～44岁及65岁以上年龄段男性患者门诊处方平均费用均高于女性患者,老年患者门诊处方平均费用最高。结论:农村女童、育龄妇女及老年人是门诊服务利用的重点人群;新型农村合作医疗制度一定程度诱导了费用不合理上涨;村卫生室提供了更为廉价的卫生服务,利于增加农村居民卫生服务利用。Objectives：To analyze the trend of the fees of the outpatient prescriptions of the rural medical institutions. Methods：Through on-site survey,a descriptive study and case-control study are made for the fee of the out-patient prescription from 1997 to 2006. Results：（1） The average prescription cost of township hospitals is higher than village clinics.（2） Average outpatient prescription costs increases quickly. The average costs of intervention group is higher than the controls. （3） There is greater expenditure for men than for women in 0～14 and 25～44 age groups,and the greatest is for the group which is over 65 years old. Conclusion：Rural girl,women of child-bearing age and older are the focus groups. The new cooperative medical scheme lead to unreasonable cost rising. The services of village clinic are cheaper.

关 键 词：新型农村合作医疗 门诊处方 乡镇卫生院 村卫生室 

分 类 号：R197.1[医药卫生—卫生事业管理]