县级公立医院综合改革对新型农村合作医疗基金支付的影响研究  

Impact Study of County-Level Public Hospital Comprehensive Reform on New Rural Cooperative Medical Fund Payment

作　　者：马桂峰[1] 马安宁[1] 

机构地区：[1]潍坊医学院,潍坊261053

出　　处：《中国卫生经济》2014年第5期28-31,共4页Chinese Health Economics

基　　金：国家自然科学基金(71273191);山东省自然科学基金项目(ZR2011GL012)

摘　　要：目的:县级公立医院综合改革成为我国公立医院改革的突破口,各项政策实施成效如何,成为评价本轮医改的主要着眼点,新型农村合作医疗基金的合理有效使用必将有力推动新医改的进程。方法:应用数学建模的方法对医院运行的历史数据实施政策模拟,测算县级公立医院综合改革措施在10个县级公立医院实施后,新型农村合作医疗基金对医院补偿支出的增减情况。结果:2010年到2012年的运行数据分析来看,有66.67%年次,新型农村合作医疗基金对公立医院补偿支出增加,共增加2 307.56万元,平均增加169.17万元。结论:综合改革政策实施后新型农村合作医疗基金对县级公立医院支出增减程度的影响因素主要是医院前期的药品加成比和基本药物销售总额在药物销售总额中的占比。Objective： As the breakthrough for public hospital reform in China, County public hospital comprehensive reform has become the main part of the reform, the reasonable use of New Rural Cooperative Medical System（NCMS） would strongly push the process of new medical reform, Methods： The method of mathematical modeling was applied in policy imitate of hospital operation historical data, to estimate the increasing of decreasing status of NCMS hospital compensation expenditure alter the implementation of county-level public hospital comprehensive reform measurement in 10 county-level public hospital. Results： Through analyzing the operation data of applying county-level public hospital comprehensive reform measurement in 10 county-level public hospital from 2010 to 2012, there was 66.67% annual time, the NCMS compensation expenditure for public hospitals increased to 23.075 6 million yuan, which increased by 1.691 7 yuan averagely. Conclusion： After the implementation of comprehensive reform policies, the influencing factors of NCMS funds on the decreasing degree of county-level public hospital expenditure were mainly the proportion of pre drug addition ratio and basic drug sales in the total drug sales.

关 键 词：县级公立医院 综合改革 新型农村合作医疗基金 数学建模 

分 类 号：R197.1[医药卫生—卫生事业管理] F842.684[医药卫生—公共卫生与预防医学] F323.89[经济管理—保险]