新型农村合作医疗中医药补偿政策实施效果制约因素分析  

Analysis on the influencing factors of implementation effect on compensation policy of Traditional Chinese Medicine under the New Rural Cooperative Medical Scheme

作　　者：张立强[1] 李强[2] 汪早立[1] 朱佳卿[2] 

机构地区：[1]卫生部新型农村合作医疗研究中心,北京100191 [2]中国中医科学院信息管理中心,北京100700

出　　处：《中国卫生政策研究》2012年第2期49-52,共4页Chinese Journal of Health Policy

基　　金：卫生部农村卫生管理司委托课题

摘　　要：目的:了解新农合中医药补偿政策对中医药服务利用的影响,分析其制约因素。方法:采取定性与定量相结合的方法,分析政策实施对中医药服务利用及参合患者受益的影响等情况。结果:中医药补偿政策在一定程度上提高了中医药服务的利用,减轻患者负担,但受到多重因素制约,主要包括:中医药服务项目少、补偿比例提高幅度有限、缺乏对医疗机构的激励机制等。结论与建议:要发挥中医药补偿政策实施效果,既要提高中医药服务的政策补偿比例,又要提高中医药服务的可及性和可得性,如推广符合中医药使用特点的补偿政策,探索对医疗机构应用中医药的激励机制等。Objective：To observe the effect on services of Traditional Chinese medicine（TCM） under compensation policies in New Rural Cooperative Medical Scheme（NRCMS）.Methods：This research was based on the quantitative and qualitative analyses method.We analyze the policies＇ implementation and effect on services of TCM and impact on the level of in-patient reimbursement.Results：It brought good effects on services of TCM but general using is not well,including limited services provision of TCM,limited increasing effective reimbursement,and weak incentive for the providers.Conclusions：In order to increase the effective impact on reimbursement policy of TCM service provision,it needs to not only increase effective rte of reimbursement,but to increase the accessibility and affordability of TCM services.For instance,it should make appropriate policy to specify the reimbursement policy in terms of the characteristic of TCM service as well as the incentive of using TCM services in providers.

关 键 词：新型农村合作医疗 中医药 补偿政策 影响因素 

分 类 号：R197.1[医药卫生—卫生事业管理]