發(fā)布時(shí)間：2018-06-12 03:42

  本文選題：新型農(nóng)村合作醫(yī)療 + 公平性　； 參考：《現(xiàn)代預(yù)防醫(yī)學(xué)》2017年21期

【摘要】：目的利用集中指數(shù)和集中曲線分析四川省富順縣2015年新型農(nóng)村合作醫(yī)療住院受益公平性,為進(jìn)一步完善政策提供參考。方法采用多階段分層隨機(jī)抽樣,抽取四川省富順縣3鎮(zhèn)12村的農(nóng)村居民進(jìn)行結(jié)構(gòu)式問(wèn)卷訪談,采用家庭資產(chǎn)評(píng)估法對(duì)參加新農(nóng)合的居民進(jìn)行經(jīng)濟(jì)分組并計(jì)算住院率、應(yīng)住院未住院率、住院補(bǔ)償率和人均補(bǔ)償比的集中指數(shù)并繪制集中曲線,以分析新農(nóng)合對(duì)不同經(jīng)濟(jì)水平參保人群住院受益的公平性。結(jié)果住院服務(wù)利用方面,住院率、應(yīng)住院未住院率的集中指數(shù)分別為-0.0974、-0.1717,二者的分布隨著經(jīng)濟(jì)水平的降低均呈現(xiàn)增高趨勢(shì)且應(yīng)住院未住院的不公平程度較為嚴(yán)重;住院補(bǔ)償方面,住院補(bǔ)償率和人均補(bǔ)償比的集中指數(shù)分別為-0.0017、-0.0634,住院是否獲得補(bǔ)償在人群中分布較為公平,而補(bǔ)償費(fèi)用占住院費(fèi)用的比值在低收入人群中更高。結(jié)論新農(nóng)合能有效保證低收入人群對(duì)住院醫(yī)療服務(wù)的利用,但應(yīng)住院未住院的情況在低收入人群中更為突出;低收入人群獲得補(bǔ)償率和人均補(bǔ)償比較高,但人群總體補(bǔ)償比偏低。
[Abstract]:Objective to analyze the benefit fairness of the new rural cooperative medical system in Fushun County of Sichuan Province in 2015, and to provide reference for the further improvement of the policy in Fushun County of Sichuan province. Methods the multi stage stratified random sampling was used to select the rural residents in the 12 villages of Fushun County, Sichuan Province, and the rural residents were interviewed by the structured questionnaire, and the family assets assessment method was adopted. The residents who participated in the NCMS were divided into the economic group and the rate of hospitalization, the unhospitalization rate, the hospitalization rate and the concentration index of the per capita compensation ratio and the concentration curve were drawn to analyze the fairness of the inpatient benefits of the new CCMS at different economic levels. The distribution of the two index were -0.0974, -0.1717, and the distribution of the two were increased with the decrease of the economic level, and the unfairness of the inpatients was more serious; the hospitalization compensation, the concentration index of the hospitalization compensation rate and the per capita compensation ratio were -0.0017, -0.0634, and the distribution of the hospitalization compensation was fairly fair in the crowd. The ratio of the cost of compensation to the hospitalization costs is higher in the low income population. Conclusion the new CCMS can effectively ensure the use of hospitalized medical services for the low income population, but the situation that the inpatients should not be hospitalized is more prominent among the low-income people; the compensation rate of the low-income population and the per capita compensation is higher, but the total compensation ratio of the population is low.
【作者單位】： 四川大學(xué)華西公共衛(wèi)生學(xué)院(華西第四醫(yī)院);
【基金】：國(guó)家自然科學(xué)基金項(xiàng)目(71303166) 美國(guó)中華醫(yī)學(xué)基金會(huì)(CMB11-073)
【分類號(hào)】：F323.89;F842.684;R197.1

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