本文選題：新型農(nóng)村合作醫(yī)療 + 住院次均費用��； 參考：《鄭州大學(xué)》2014年碩士論文

【摘要】：目的 本研究旨在通過對河南省武陟縣多年來新農(nóng)合基金運行情況進行調(diào)查，了解武陟縣各鄉(xiāng)鎮(zhèn)衛(wèi)生院住院次均費用以及存在的問題，分析各鄉(xiāng)鎮(zhèn)衛(wèi)生院住院次均費用總結(jié)其規(guī)律，然后依據(jù)規(guī)律建立住院次均費用級差管理模式，為降低住院次均費用、提高群眾的實際補償率、保證新農(nóng)合基金的安全提供技術(shù)支持。 方法 本研究運用文獻回顧法和頭腦風(fēng)暴法制定科學(xué)嚴(yán)謹(jǐn)?shù)难芯糠桨�，設(shè)計出年位次選票。以選票為調(diào)查工具調(diào)查了河南省武陟縣24家縣鄉(xiāng)兩級醫(yī)療機構(gòu)的年位次以及住院次均費用，通過方差分析、一元線性回歸分析等方法分析河南省武陟縣24家縣鄉(xiāng)兩級醫(yī)療機構(gòu)的年位次變化規(guī)律、住院次均費用與位次的關(guān)系、住院次均費用與實施年限的關(guān)系。 結(jié)果 1.鄉(xiāng)鎮(zhèn)衛(wèi)生院年次均費用的位次變化不大，且不十分顯著，可以忽略此因素造成的影響。 2.鄉(xiāng)鎮(zhèn)衛(wèi)生院的年次均費用與位次顯著相關(guān)，且呈線性分布。鄉(xiāng)鎮(zhèn)衛(wèi)生院年次均費用與位次變化規(guī)律統(tǒng)計結(jié)果：（以2010年為例）該例中的判定系數(shù)為0.9504。 3.鄉(xiāng)鎮(zhèn)衛(wèi)生院的年次均費用與實施年限之間關(guān)系的統(tǒng)計結(jié)果：鄉(xiāng)鎮(zhèn)衛(wèi)生院的年次均費用隨年份增高而增高，并線性相關(guān) 4.鄉(xiāng)鎮(zhèn)衛(wèi)生院的年次均費用數(shù)學(xué)模型:鄉(xiāng)鎮(zhèn)衛(wèi)生院的次均住院費用＝1259.5＋83.8×實施年限－61.3×位次 結(jié)論 1.本研究通過對河南省武陟縣鄉(xiāng)鎮(zhèn)衛(wèi)生院次均住院費用情況統(tǒng)計分析，建立了新型農(nóng)村合作醫(yī)療次均費用級差管理模式并投入運行。 2.運行期間達到初步的效果。在達到一定成效的同時，，此模型也暴露了沒有規(guī)避人為因素、考慮不全面等一些問題。 3.針對出現(xiàn)的問題，本研究采取了一系列措施，對新型農(nóng)村合作醫(yī)療次均住院費用級差管理的模式修訂如下：某個醫(yī)院的住院次均費用=該醫(yī)院的綜合級別×級別級差+年限×年級差+該醫(yī)院的實際補償比×補比級差+為該醫(yī)院的大病住院率×大病級差。
[Abstract]:Purpose The purpose of this study is to investigate the operation of the New Rural Cooperative Fund in Wuzhi County, Henan Province for many years, to understand the average hospitalization cost and the existing problems of the township health centers in Wuxian County, and to analyze the regularity of the average hospitalization expenses of the township hospitals. Then, according to the rule, the management model of average cost of hospitalization is established to provide technical support for reducing the average cost of hospitalization, improving the actual compensation rate of the masses and ensuring the safety of the new rural cooperative fund. Method This study uses literature review method and brainstorming method to formulate scientific and rigorous research programs and design annual votes. The annual ranking and average cost of hospitalization of 24 medical institutions in Wuzhi County, Henan Province, were investigated by means of ballot papers, and the variance analysis was carried out. Univariate linear regression analysis and other methods were used to analyze the changes of annual order of medical institutions in 24 counties and townships in Wuzhi County, Henan Province, the relationship between the average cost of hospitalization and rank, and the relationship between the average cost of hospitalization and the number of years of implementation. Result 1. The rank of annual average cost of township health centers is not significant and the influence of this factor can be ignored. 2. The annual average cost of township hospitals was significantly correlated with rank, and was linearly distributed. Statistical results of annual average cost and rank change of township health centers. The result is: (take 2010 as an example) the judgment coefficient of this case is 0.9504. 3. Statistical results of the relationship between the annual average cost and the years of operation of the township health centers: the annual average cost of the township hospitals increases with the increase of the year, and is linearly correlated with the years. 4. Mathematical model of annual average cost of township health center: average hospitalization cost of township health center: 1259.5 + 83.8 脳 years of implementation -61.3 脳 order Conclusion 1. Based on the statistical analysis of the average hospitalization expenses of the township health centers in Wuzhi County, Henan Province, the management model of the new rural cooperative medical system was established and put into operation. 2. Initial effect is achieved during operation. At the same time, the model also exposes some problems, such as not avoiding human factors and considering comprehensively. 3. In view of the problems, this study has taken a series of measures, The model of average hospitalization cost difference management for the new rural cooperative medical system is revised as follows: the average hospitalization cost of a hospital is equal to the general grade 脳 grade difference years 脳 year difference of the hospital, and the actual compensation ratio of the hospital is 脳. The difference of complementary ratio is the rate of hospitalization of serious illness and the difference of grade of serious illness in this hospital.
【學(xué)位授予單位】：鄭州大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R197.1;F842.684;F323.89

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