河南省新农合不同支付方式参合农民满意度调查  

Satisfaction investigation on farmers of different payment mode of the new type of rural cooperative medical care system in Henan province

作　　者：姜枫[1] 张荣欣[1] 杨晓娜[2] 张海燕[2] 

机构地区：[1]河南中医学院第一附属医院,河南郑州450000 [2]河南中医学院,河南郑州450008

出　　处：《卫生软科学》2012年第1期12-14,共3页Soft Science of Health

基　　金：河南省卫生厅2010年度卫生政策研究重点课题(YWZY2010025)

摘　　要：[目的]评价河南省新农合支付方式改革试点县和非试点县不同支付方式的参合农民满意度,为政策制定、评价提供参考。[方法]选择河南省新农合支付改革试点县和非试点县各一个,调查参合农民对不同支付方式的满意度,比较二者差异。[结果]选择河南省南阳市镇平县(试点县)和开封市开封县(非试点县)为调查点,两地各发放问卷500份,合计回收问卷912份,两地参合农民的住院天数、住院花费、报销金额差异无统计学意义,住院报销比例差异有统计学意义;在新农合满意度各指标上,除对新农合办理人员业务熟练程度、报销程序等上差异无统计学意义外,其余各项两地差异均有统计学意义(P<0.05)。[结论]以按病种支付的新农合支付方式较按项目付费的支付方式,参合农民的实际报销比例增加,满意度提高。Objective To evaluate the farmers＇ satisfaction of different payment mode of new type of rural cooperative medical care system in both reform experimental counties and non-reform counties in Henan province in order to providing reference for policy setting and evaluation. Methods To select each one from above two kinds counties, to investigate the farmers＇ satisfaction of different payment mode and compare the difference in this two counties. Results Selected two counties, such as Zhenping county（experiment） and Kaifeng county（non- experiment）. Gave out 500 questionnaires to each counties. Recovered 912 questionnaires in total. There were no statistics significance among hospitalized days, hospitalization cost and reimbursement amount, while there was statistics significance in different reimbursement proportion. On index of new type of rural cooperative medical care system, there were statistics reimbursement procedure（P 〈 0.05）. Conclusions The significance except staffs business proficiency and farmers＇ actual reimbursement proportion were increasing by the payment indifferent diseases, it is better than payment in different items innew type of rural cooperative medical care system. So the farmers＇ satisfaction are increasing too.

关 键 词：新型农村合作医疗 支付方式 病种 项目 

分 类 号：R197.1[医药卫生—卫生事业管理]