基于内蒙古自治区城乡居民基本医疗保险一体化的居民个人筹资额度与筹资可行性分析  

Analysis on Resident Individual Financing Amount and Financing Feasibility Based on the Integration of Medical Insurance for Urban and Rural Residents in the Inner Mongolia Autonomous Region

作　　者：薛清元 杜惠峰 范艳存 

机构地区：[1]内蒙古医科大学卫生管理学院,呼和浩特010110 [2]内蒙古自治区卫生政策研究所,呼和浩特010110

出　　处：《中国卫生经济》2018年第3期42-45,共4页Chinese Health Economics

基　　金：国家社会科学基金项目(15XGL019)

摘　　要：目的:测算内蒙古自治区不同补偿方案下居民个人筹资额度,分析内蒙古自治区城乡居民基本医疗保险一体化进程中居民个人的筹资可行性。方法:运用绝对关联模型、相对关联模型以及综合关联度等多种方法,对2011—2015年内蒙古自治区不同补偿方案下的居民个人筹资额度进行测算,并分析其筹资可行性。结果:无论在哪类补偿方案下,五年内居民个人人均所需筹资额度增长幅度均在2倍以上,平均年增长25%以上;其中三类补偿方案(30%门诊+70%住院)与四类补偿方案(40%门诊+70%住院)综合关联度介于[0.60,0.85]之间,一类补偿方案的关联度相对过高,达到0.920;五类补偿方案的关联度相对较低,达到0.508。结论:内蒙古自治区居民个人人均所需筹资额度逐年增长,三类补偿方案(30%门诊+70%住院)与四类补偿方案(40%门诊+70%住院)可行性较高。Objective： To calculate the individual financing amounl of residents under different compensation schemes in Inner Mongolia Autonomous Region, and to analyze the feasibility of financing individual residents in the process of integration of basic medical insurance for urban and rural residents in Inner Mongolia Autonomous Region. Methods： Based on the absolute correlation mod- el, the relative correlation model and the comprehensive correlation degree, it calculated the individual financing quota of different compensation schemes in Inner Mongolia Autonomous Region from 2011 to 2015, and analyzed the feasibility of its financing. Re- suits： The increase in the amount of funds required for the residents in 5 years was more than 2 times, and the average annual growth rate was more than 25%. These three types of compensation programs（30% outpatients ＋ 70% hospitalized）. The correlation degree of the compensation scheme （40% outpatient service ＋ 70% hospitalizationl was between 0.60 and 0.85. The correlation degree of the compensation scheme was relatively high, which reached to 0.920. The correlation degree of these five compensation schemes was rela- tively low, which reached to 0.508. Conclusion： The amount of funding required for individual residents in Inner Mongolia Autono- mous Region increased by years. The three types of compensation programs（30% outpatient service ＋ 70% hospitalization） were more feasible than the four types of compensation programs（40% outpatient service ＋ 70% hospitalization）.

关 键 词：居民个人筹资 可行性 城乡居民 基本医疗保险一体化 内蒙古 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F840.613[经济管理—保险]