新农合患者大病医疗救助水平分析——以湖北省A地和贵州省B地为例  

Study on the status of catastrophic disease medical assistance under NRCMS in A City at Hubei Province and B County at Guizhou Province

作　　者：罗会秋[1] 吴姝德[1] 李聪[1] 李云飞[1] 潘瑶[1] 项莉[1] 

机构地区：[1]华中科技大学同济医学院,湖北武汉430030

出　　处：《中国卫生政策研究》2015年第3期24-28,共5页Chinese Journal of Health Policy

基　　金：国家自然科学基金(71203068);湖北省卫生厅卫生政策科研项目(ZC2012-3)

摘　　要：目的:分析A、B两地大病医疗救助情况,为提高大病医疗救助水平和保障效果提出可行性建议。方法:选取湖北省A地和贵州省B地,2013年通过现场调查获取问卷872份,分析大病医疗救助受益患者的概况,计算救助前后年度自付费用以及灾难性卫生支出发生率、相对差距。结果:大病医疗救助对患者经济负担缓解作用有限;目前大病医疗救助政策救助比偏低,救助范围较窄,非五保、低保大病患者救助起付线高且年救助封顶线低,导致实际救助比远低于政策救助比。结论:逐步拓宽大病患者合规费用救助范围并提高救助比;做好大病医疗救助与大病医疗保险、基本医疗保险的有效衔接;将大病门诊自付费用纳入大病医疗救助范围。Objective： This paper designs to analyze the status of catastrophic disease medical assistance in A and B regions,and put forward feasible suggestions to improve the medical assistance level and financial effects.Methods： We selected A city at Hubei province and B county at Guizhou province as sample areas,and obtained 872 copies of questionnaires in the field survey. Then,out-of-pocket health expenditure per year,the incidence,and relative gap of catastrophic health expenditure before and after the financial aid were calculated. Results： Catastrophic disease medical assistance plays a limited role in relieving patients＇ economic burden. Low financial aid rate,narrow range,high deductibles and low ceiling level are responsible for much lower effective financial aid rate. Conclusion：Raise financial aid rate and widen the scope of medical assistance gradually; Establish effective link-up between catastrophic disease medical assistance and catastrophic disease insurance / basic medical insurance; Put outpatient OOP into the scope of catastrophic disease medical assistance.

关 键 词：大病医疗救助 救助水平 新农合 

分 类 号：R197[医药卫生—卫生事业管理]