新型农村合作医疗总额预付制对住院受益程度的影响  

The Impact of Global Budget on the Hospitalization Beneficial Degree under New Rural Cooperative Medical System

作　　者：薛秦香[1] 苏敏[1] 孙璐鑫 

机构地区：[1]西安交通大学卫生管理与政策研究所,西安710061

出　　处：《中国卫生经济》2017年第5期59-64,共6页Chinese Health Economics

基　　金：陕西省社会科学基金项目(13Q089)

摘　　要：目的:分析新型农村合作医疗总额预付制对次均住院补偿、住院补偿比、次均住院自付费用和住院自付比例的影响。方法:采用倍差法控制非干预因素,测算总额预付制的净影响。结果:新型农村合作医疗总额预付制使次均住院补偿下降了14.37元,但不具有统计学意义;住院补偿比上升了5.23个百分点,次均住院自付费用下降了141.51元,自付比例下降了5.23个百分点,均有统计学意义;对具体病种的影响存在差异。结论:新型农村合作医疗总额预付提高了住院受益程度,但因病种不同而不同,总额预付标准测算仍需科学化与合理化。Objective： To analyze the effect of global budget of New Rural Cooperative Medical System （NCMS） on the per-visit inpatient compensations, inpatient compensation ratios, per-visit inpatient out-of-pocket expenses and inpatient out-of-pocket rates. Methods： The difference in difference method was used to control the non-intervention factors and estimate the net impact of global budget. Results： Global budget of NCMS decreased the per-visit inpatient compensations by 14.37 yuan, but it had no statistical significance. The compensation ratio of hospitalization increased by 5.23%, the average hospitalization self-payment decrease by 141.51 yuan, the self-payment decreased by 5.23%, which all had statistical significance while there were differences on the effects for specific diseases. Conclusion： Global budget of NCMS increased the inpatient benefit, but the effect was varies by conditions. In addition, measurement of global budget＇ s standard still needed to be scientific and reasonable.

关 键 词：新型农村合作医疗 总额预付制 住院受益 倍差法 

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