山东省新型农村合作医疗筹资的研究  

Analysis of the Financing of New Rural Cooperative Medical Scheme in Shandong Province

作　　者：于风华[1,2] 王健[1] 王海立[3,2] 孙经杰[3] 逯延华[1] 

机构地区：[1]山东大学卫生管理与政策研究中心,济南250012 [2]山东省卫生厅,济南250014 [3]山东大学公共卫生学院,济南250012

出　　处：《中国卫生经济》2010年第12期46-48,共3页Chinese Health Economics

摘　　要：目的:2003年,山东省开展了新型农村合作医疗试点工作,2009年人口覆盖率达90.00%以上。但是,仍有一些因素限制了全覆盖目标的实现。文章从新型农村合作医疗筹资的角度,为决策者提供资金来源、资金使用和受益等信息,以完善政策设计。方法:使用卫生总费用的技术方法,测算山东省2003—2009年的新型农村合作医疗筹资情况,分析其对全覆盖的影响。资料来源于山东省新型农村合作医疗年报数据库。结果:研究发现:(1)OOP是新型农村合作医疗主要的筹资来源,从2003年的72.56%降为2009年的65.36%;(2)新型农村合作医疗人均广义政府卫生支出,从2003年的24.90元增加到2009年的103.14元;③2009年新型农村合作医疗门诊和住院费用分别占73.41%和22.31%,而健康查体等预防性支出不足10.00%。结论"降低OOP比重、提高政府补助以及引导资金合理使用",对促进新型农村合作医疗的可持续发展具有重要意义。Objectives： Shandong Province initiated the New Rural Cooperative Medical Scheme（NRCMS） for rural residents in 2003.Up to the end of 2009,the overall population coverage is over 90.00 percent.However,it is still understudied which factors limit the universal coverage.From the point view of impacts of these factors on the financing,the information of finance resource,usage and benefit,etc,are provided for policy makers to perfect policy design.Methods： The impact of these factors on the financing is analyzed by using total health expenditure method.The data was derived from annual health service survey at the Health Department of Shandong Province from 2003 to 2009.Results： It is found that（1）OOP payment is the main financing source,which accounts for 72.56% in total NRCMS expenditure in 2003 and decreases to 65.36% in 2009;（2）The general government expenditure per capita increased from 24.90 yuan in 2003 to 103.14 yuan in 2009;（3）Inpatient and outpatient expenditure account for 73.41% and 22.31% in total NRCMS expenditure respectively,but the preventive expenditure is less than 10.00% in 2009.Conclusions： The experiences of reducing OOP,increasing government budget and designing accurate benefits,which were interpreted from the study,could be an important contribution to maintain NRCMS sustainable development.

关 键 词：农民保险 新型农村合作医疗 筹资 

分 类 号：R197.1[医药卫生—卫生事业管理]