新农合参合人员不同等级医疗机构住院流向构成分析  

Analyzing the status of hospitalization of insured in the New Rural Cooperative Medical System in different medical institutions

作　　者：杨越[1] 宁建国[2] 赵静[1] 熊林平[1] 

机构地区：[1]第二军医大学卫生事业管理学教研室,上海200433 [2]陕西省宝鸡市卫生局

出　　处：《中国卫生事业管理》2015年第2期135-137,共3页Chinese Health Service Management

基　　金：国家自然科学基金项目"医疗保障制度城乡一体化微观模拟研究"(编号:71073171)

摘　　要：目的:对陕西省某县新农合参合人员在不同等级医疗机构住院流向构成进行分析,为完善医疗机构补偿政策提供建议。方法:以2011年某县参合人群在不同等级医疗机构住院人次和费用补偿等为研究指标,利用SAS统计软件进行数据分析。结果与结论:该县应加强农村基层医疗设施建设,健全基层首诊和双向转诊制度,控制县外就医比重。Objective To analyze the status of hospitalization of insured in the New Rural Cooperative Medical System in differ- ent medical institutions of Shaanxi Province, and provide suggestions for perfecting the compensation policy. Methods Indexes of av- erage hospitalized person-time and compensation cost of insured in various medical institutions in 2011 were analyzed with SAS sta- tistics software. Results and Conclusion It is suggested that primary health care facilities in rural areas should be strengthened. Pri- mary first diagnosis and two-way referral system need to be improved. And medical treatment outside the county needs to be con- trolled.

关 键 词：新农合 医疗机构 住院费用 

分 类 号：F842.684[经济管理—保险] F323.89[医药卫生—卫生事业管理] R197.3[医药卫生—公共卫生与预防医学]