本文選題：基層醫(yī)療服務(wù)能力　切入點：民族地區(qū)　出處：《衛(wèi)生經(jīng)濟研究》2016年10期 　論文類型：期刊論文

【摘要】：以藏族聚居縣——九寨溝縣為研究對象,選取其2009-2014年59128例住院病例,對新農(nóng)合參合、籌資、住院費用、病人流向等指標進行統(tǒng)計分析,并與四川省平均數(shù)據(jù)對比。結(jié)果顯示,九寨溝縣目前參合情況尚可,但資金使用率不穩(wěn)定,次均住院費用上漲較快,縣級住院實際補償比偏低,縣外就醫(yī)負擔較大。對此,應(yīng)針對民族地區(qū)"地廣人稀"的特點,提高統(tǒng)籌層次;采用分級診療、支付方式改革等措施控制醫(yī)療費用上漲;根據(jù)當?shù)丶膊∽V加強民族地區(qū)基層醫(yī)療服務(wù)能力,切實提高參合農(nóng)民醫(yī)療保障水平。
[Abstract]:Taking Jiuzhaigou County, a county inhabited by Tibetans, as the research object, 59128 hospitalized cases from 2009 to 2014 were selected, and the statistical analysis was carried out on the new rural cooperative participation, financing, hospital expenses and patient flow, and compared with the average data of Sichuan Province. Jiuzhaigou County is in a good situation at present, but the utilization rate of funds is unstable, the average hospitalization expenses are rising faster, the actual compensation ratio for county level hospitalization is on the low side, and the burden of seeking medical treatment outside the county is relatively large. In view of this, we should aim at the characteristics of "extensive land with few people" in ethnic minority areas. To improve the overall planning level; to adopt classified diagnosis and treatment, payment reform and other measures to control the rise of medical costs; to strengthen the capacity of primary medical services in ethnic areas according to the local disease spectrum, and to improve the level of medical security of participating farmers.
【作者單位】： 四川大學華西公共衛(wèi)生學院;四川省九寨溝縣疾病預防控制中心;四川大學西部農(nóng)村衛(wèi)生發(fā)展研究中心;
【基金】：美國中華醫(yī)學基金會項目“Supporting for West China Center for Rural health(12-106)
【分類號】：R197.1;F842.684;F323.89

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1 宛嚴勇;九寨溝縣群眾就醫(yī)狀況大大改善[N];阿壩日報;2007年

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