本文關(guān)鍵詞： 人口老齡化 新型農(nóng)村合作醫(yī)療 住院基金　出處：《福建醫(yī)科大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：人口老齡化對醫(yī)療衛(wèi)生體系的沖擊力度不可小覷，老年人口本身的醫(yī)療需求往往高于其他人群，老年人口的增加往往帶動(dòng)著醫(yī)療需求的增長。現(xiàn)有醫(yī)療保障體系能否平穩(wěn)運(yùn)行、保證基金不出險(xiǎn)已成為制度設(shè)計(jì)者、制度執(zhí)行者和參與者等多方關(guān)注的焦點(diǎn)。本研究旨在分析新農(nóng)合運(yùn)行情況、老年人住院費(fèi)用特點(diǎn)，預(yù)測5年內(nèi)老年人口數(shù)量和醫(yī)療服務(wù)需求、新農(nóng)合基金償付壓力，為保障老年人醫(yī)療水平、新農(nóng)合穩(wěn)定發(fā)展提供客觀依據(jù)。 方法：本研究根據(jù)福州市新型農(nóng)村合作醫(yī)療管理中心2009—2013年數(shù)據(jù)，運(yùn)用定量分析與定性分析相結(jié)合的方法，使用描述性統(tǒng)計(jì)學(xué)方法對新農(nóng)合基金運(yùn)行情況進(jìn)行分析，使用人口分要素預(yù)測方法、灰色模型預(yù)測方法對老年人口、新農(nóng)合基金發(fā)展情況進(jìn)行預(yù)測。同時(shí)，，采用訪談法了解各方對新農(nóng)合應(yīng)對老齡化的看法。 結(jié)果：（1）福州市新農(nóng)合運(yùn)行平穩(wěn)，參合率不斷上升、籌資額穩(wěn)步增長、基金收支基本平衡、補(bǔ)償比例不斷提高、農(nóng)村居民的受益面和受益程度都得到了提升。（2）福州市新農(nóng)合系統(tǒng)呈現(xiàn)年老型人口結(jié)構(gòu)，老齡化趨勢明顯，老年人口住院服務(wù)利用不斷增長，次均住院費(fèi)用、人均住院費(fèi)用不斷升高；老年人口多傾向于非手術(shù)治療，藥品費(fèi)用占比較大；多在鄉(xiāng)級機(jī)構(gòu)就醫(yī)；其住院主要疾病集中在循環(huán)系統(tǒng)、呼吸系統(tǒng)、消化系統(tǒng)。（3）預(yù)測結(jié)果顯示，未來5年后老年人口數(shù)量將增長至66.76萬人，次均住院費(fèi)用達(dá)12911元，住院基金籌資總額至少應(yīng)達(dá)到17.85億元，人均籌資額至少需536元。 結(jié)論：新農(nóng)合面臨著老年人口增加、住院費(fèi)用增長、政府籌資負(fù)擔(dān)加重的挑戰(zhàn)。建議加快醫(yī)保并軌進(jìn)程，明確補(bǔ)償政策定位，擴(kuò)大籌資渠道，促進(jìn)患者分流，健全老年人口保障體系等。
[Abstract]:Objective: the impact of population aging on the health care system is not to be underestimated. The elderly population itself often has higher medical needs than other people. The increase in the elderly population often leads to an increase in the demand for medical care. Whether the existing medical security system can run smoothly and ensure that the fund does not risk has become the designer of the system. The purpose of this study is to analyze the operation of NCMS, the characteristics of hospitalization expenses of the elderly, the number of elderly population and the demand for medical services within 5 years, and the repayment pressure of NRCF. In order to ensure the medical level of the elderly, the stable development of NCMS provides an objective basis. Methods: according to the data of Fuzhou New Rural Cooperative Medical Management Center from 2009 to 2013, using the method of quantitative analysis and qualitative analysis, using descriptive statistical method to analyze the operation of New Rural Cooperative Medical Fund (NCMS). This paper uses the method of population sub-factor forecasting and grey model forecasting to forecast the development of the old population and the New Agricultural Cooperation Fund. At the same time, the author uses the interview method to find out the views of the new rural cooperation on how to cope with the aging. Results: 1) the operation of the new agricultural cooperation in Fuzhou was stable, the participation rate was constantly rising, the amount of funds raised steadily, the fund income and expenditure were basically balanced, and the proportion of compensation was constantly rising. The benefits and the degree of benefits of rural residents were improved. 2) the new rural cooperative system of Fuzhou showed an aging population structure, the trend of aging was obvious, the utilization of hospitalization services of the elderly population was increasing, and the average hospitalization cost. The per capita hospitalization costs are increasing; the elderly population tends to be non-surgical treatment, and the cost of drugs is relatively large; most of them seek medical treatment at the township level; the main inpatient diseases are concentrated in the circulatory system, respiratory system, digestive system, etc.) the predicted results show that, In the next five years, the number of the elderly population will increase to 667,600, the average hospitalization expenses will reach 12911 yuan, the total amount of funds raised by hospital funds should reach at least one billion seven hundred and eighty-five million yuan, and the amount of capital raised per capita should be at least 536 yuan. Conclusion: NCMS is faced with the challenge of increasing the elderly population, increasing hospital expenses and increasing the burden of government financing. It is suggested that the process of medical insurance should be accelerated, the position of compensation policy should be defined, the financing channel should be expanded, and the patient shunt should be promoted. Improve the security system for the elderly population.
【學(xué)位授予單位】：福建醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：F842.684;F323.89;R197.1;C924.24

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 田飛;;人口預(yù)測方法體系研究[J];安徽大學(xué)學(xué)報(bào)(哲學(xué)社會科學(xué)版);2011年05期

2 李丹寧;孫琪;劉千紅;蘇丹;馬明洋;;基于我國人口老齡化的醫(yī)療保險(xiǎn)需求研究[J];北方經(jīng)濟(jì);2012年06期

3 仇雨臨;人口老齡化對醫(yī)療保險(xiǎn)制度的挑戰(zhàn)及對策思考[J];北京科技大學(xué)學(xué)報(bào)(社會科學(xué)版);2005年01期

4 朱波;周卓儒;;人口老齡化與醫(yī)療保險(xiǎn)制度:中國的經(jīng)驗(yàn)與教訓(xùn)[J];保險(xiǎn)研究;2010年01期

5 何平平;;經(jīng)濟(jì)增長、人口老齡化與醫(yī)療費(fèi)用增長——中國數(shù)據(jù)的計(jì)量分析[J];財(cái)經(jīng)理論與實(shí)踐;2006年02期

6 周榮蓉;;人口老齡化對新型農(nóng)村合作醫(yī)療保障制度的影響——以安徽省為例[J];產(chǎn)業(yè)與科技論壇;2011年04期

7 史若丁;汪兵韜;;人口老齡化對城鎮(zhèn)基本醫(yī)療保險(xiǎn)基金沖擊的分析[J];改革與開放;2011年21期

8 劉國恩;蔡春光;李林;;中國老人醫(yī)療保障與醫(yī)療服務(wù)需求的實(shí)證分析[J];經(jīng)濟(jì)研究;2011年03期

9 秦立建;蔣中一;;新型農(nóng)村合作醫(yī)療與城鎮(zhèn)居民醫(yī)療保險(xiǎn)合并研究[J];經(jīng)濟(jì)體制改革;2012年06期

10 張思鋒;劉慶;;寶雞市城區(qū)老年人口住院醫(yī)療需求測算[J];人口與經(jīng)濟(jì);2010年02期

本文編號：1541575