第一批新型农村合作医疗试点地区基金运行情况分析  

Analysis of fund operation in the first pilot of New Rural Cooperative Medical Schemes

作　　者：付晓光[1] 任钢[1] 程念[1] 汪早立[1] 

机构地区：[1]卫生部新型农村合作医疗研究中心,北京100191

出　　处：《中国卫生资源》2012年第2期165-168,共4页Chinese Health Resources

摘　　要：目的:研究第一批试点地区新农合基金运行情况。方法:利用第一批试点地区2004-2010年各省统计报表数据,对基金运行的关键性指标进行纵向对比分析。结果:经历7年的运行第一批试点地区的参合率达到96%,累计筹资超过591亿元,受益面和受益水平也有显著提高;基金支出规模增幅较快,基金支付范围不断扩大,除住院,普通门诊外还兼顾了分娩、大额门诊等;基金的流向主要在县内医疗机构;基金的使用率较高,近年来保持在85%以上。结论:新农合目前仍缺乏长效稳定的筹资机制,需要建立科学、合理的补偿方案,也面临基金超支的风险。Objective： To analyze the situation of fund operation in the first pilot of New Rural Cooperative Medical Schemes（NRCMS）.Methods： The national statistics in the first pilot of NRCMS during 2004-2010 were used.The key indicators on NRCMS were compared and vertically analyzed.Results： In the first pilot,NRCMS covered about 96% of rural residents,the total amount of NRCMS funds financed was over 59.1 billion Yuan,and the reimbursement rate rose significantly.Meanwhile,the fund spending increased rapidly.Apart from in-patients and out-patients,childbirth and special out-patient services with large expense were also covered by NRCMS.Most of fund expense went to medical institutions within the county.Utilization rate of NRCMS remained at a high level of above 85% in recent years.Conclusion： NRCMS are still lack of a stable and efficient funding mechanism.A scientific and reasonable compensation plan needs to be established and NRCMS also confront the risk of overspending.

关 键 词：新型农村合作医疗 第一批试点地区 基金使用率 

分 类 号：R197.1[医药卫生—卫生事业管理]