本文選題：新型農(nóng)村合作醫(yī)療保險(xiǎn) + 評(píng)價(jià)　； 參考：《新疆醫(yī)科大學(xué)》2014年碩士論文

【摘要】：目的：本研究通過(guò)建立一套綜合、全面、可操作的新型農(nóng)村合作醫(yī)療保險(xiǎn)的評(píng)價(jià)指標(biāo)體系,并用這個(gè)指標(biāo)體系對(duì)新疆縣(市)新型農(nóng)村合作醫(yī)療的運(yùn)行效果進(jìn)行評(píng)價(jià)分析。方法：運(yùn)用Epidata3.0進(jìn)行數(shù)據(jù)錄入,建立基礎(chǔ)數(shù)據(jù)庫(kù),Spss13.0對(duì)收集的數(shù)據(jù)整理分析,利用德?tīng)柗品ń⑿滦娃r(nóng)村合作醫(yī)療評(píng)價(jià)指標(biāo)體系,用變異系數(shù)法計(jì)算各個(gè)指標(biāo)權(quán)重,通過(guò)層次分析法計(jì)算各個(gè)縣(市)的綜合得分,判斷各縣(市)新農(nóng)合運(yùn)行效果。結(jié)果：(1)指標(biāo)體系建立：新農(nóng)合評(píng)價(jià)指標(biāo)體系包括四個(gè)一級(jí)指標(biāo)、十二個(gè)二級(jí)指標(biāo)和三十二個(gè)三級(jí)指標(biāo),一級(jí)指標(biāo)為公平、效率、質(zhì)量和可持續(xù)性,二級(jí)指標(biāo)為社會(huì)公平、配置效率、滿意度、社會(huì)支持度等等,三級(jí)指標(biāo)包括參合率,貧困人口參合率等等。(2)新農(nóng)合效果評(píng)價(jià)結(jié)果：從調(diào)查數(shù)據(jù)研究可以看到,綜合得分排在第一的烏恰縣,由一級(jí)指標(biāo)可以看出公平性的貢獻(xiàn)最大,注重公平,綜合得分排在最后的是澤普縣。效率最好的是額敏縣,質(zhì)量最好的是阿勒泰市,可持續(xù)性最好的是葉城縣,53個(gè)縣的平均得分是0.667。結(jié)論：管理與監(jiān)督是建立有效新型農(nóng)村合作醫(yī)療制度的重要環(huán)節(jié),效果評(píng)價(jià)是新農(nóng)合評(píng)價(jià)中最重要的部分,因此,建立合理、科學(xué)的評(píng)價(jià)體系是至關(guān)重要的。各個(gè)縣(市)新農(nóng)合運(yùn)行穩(wěn)定,公平性差異較小,仍有待進(jìn)一步提高；整體效率偏低,主要體現(xiàn)在住院費(fèi)用高居不下；質(zhì)量處于平穩(wěn)階段,提高患者滿意度是衡量質(zhì)量的重要內(nèi)容；可持續(xù)性不容樂(lè)觀,表現(xiàn)在保險(xiǎn)基金持續(xù)透支難以保證新農(nóng)合的有效運(yùn)行；增加財(cái)政投入,改變籌資模式,加大政策支持,針對(duì)各個(gè)縣(市)的實(shí)際情況,因地制宜的提出實(shí)施方案,保證新農(nóng)合制度有效運(yùn)行。
[Abstract]:Objective: to establish a comprehensive, comprehensive and operable evaluation index system of the new rural cooperative medical insurance, and to evaluate and analyze the operation effect of the new rural cooperative medical system in the counties (cities) of Xinjiang. Methods: Epidata 3.0 was used to input the data, the basic database was set up to collect and analyze the data collected and the Delphi method was used to establish the evaluation index system of the new rural cooperative medical system. The weight of each index was calculated by the variation coefficient method. The comprehensive score of each county (city) is calculated by analytic hierarchy process (AHP) to judge the operation effect of NCMS in each county (city). Results the index system was established: the evaluation index system of NCMS includes four primary indexes, twelve second-class indicators and thirty-two third-level indicators. The first class index is equity, efficiency, quality and sustainability, and the second grade index is social equity. Allocation efficiency, satisfaction, social support, and so on. The third level indicators include participation rate, poverty participation rate, etc.) the evaluation results of the new rural cooperation effect: from the research of survey data, we can see that Wucha County, which has the first comprehensive score, is ranked first. We can see that the contribution of fairness is the most important, and the comprehensive score ranks last in Zepu County. Eimin County is the most efficient, Altay is the best quality, Yecheng County is the best sustainability, the average score of 53 counties is 0. 667. Conclusion: management and supervision is an important link in the establishment of an effective new rural cooperative medical system, and the effect evaluation is the most important part in the evaluation of the new rural cooperative medical system. Therefore, it is very important to establish a reasonable and scientific evaluation system. The operation of NCMS in various counties (cities) is stable and the equity difference is small, which still needs to be further improved; the overall efficiency is on the low side, mainly reflected in the high hospitalization expenses; the quality is at a stable stage. Improving patient satisfaction is an important part of quality measurement; sustainability is not optimistic, as the insurance fund overdraft is difficult to ensure the effective operation of NCMS; increase financial investment, change the funding model, increase policy support, According to the actual situation of each county (city), the implementation plan is put forward according to the local conditions to ensure the effective operation of the new agricultural cooperation system.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R197.1;F842.684;F323.89

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 楊永梅;;我國(guó)基本醫(yī)療衛(wèi)生服務(wù)均等化問(wèn)題研究[J];哈爾濱商業(yè)大學(xué)學(xué)報(bào)(社會(huì)科學(xué)版);2009年02期

2 張?jiān)偕?趙麗華;;發(fā)達(dá)國(guó)家醫(yī)療保障制度城鄉(xiāng)統(tǒng)籌經(jīng)驗(yàn)及啟示[J];現(xiàn)代經(jīng)濟(jì)探討;2009年08期

3 王雪銘;吳瑞明;;評(píng)價(jià)方法的發(fā)展與體系研究[J];科學(xué)技術(shù)與工程;2009年02期

4 賈潤(rùn)林;張心靈;;新型農(nóng)村合作醫(yī)療評(píng)價(jià)指標(biāo)體系的構(gòu)建及應(yīng)用——基于內(nèi)蒙古自治區(qū)的實(shí)證研究[J];內(nèi)蒙古社會(huì)科學(xué)(漢文版);2013年01期

5 周偉;;幾種績(jī)效評(píng)價(jià)方法的實(shí)證比較[J];評(píng)價(jià)與管理;2007年01期

6 胡宏偉;李楊;鄭麗莎;;統(tǒng)籌城鄉(xiāng)基本醫(yī)療保險(xiǎn)體系實(shí)現(xiàn)路徑分析[J];社會(huì)保障研究;2012年01期

7 李妍婷;趙明;丁蕾;陸琳;馬進(jìn);;醫(yī)療保障體系改革效果評(píng)估指標(biāo)體系的研究[J];上海交通大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);2011年02期

8 趙文龍,鄭美雁;我國(guó)城鎮(zhèn)職工基本醫(yī)療保險(xiǎn)評(píng)價(jià)指標(biāo)體系的構(gòu)建[J];統(tǒng)計(jì)與決策;2005年05期

9 趙振華;;我國(guó)醫(yī)療保險(xiǎn)制度發(fā)展回顧與思考[J];天津社會(huì)保險(xiǎn);2012年01期

10 朱云飛;趙寧;;縣域間基本社會(huì)保障服務(wù)均等化研究——以縣域大省河北為例[J];西部經(jīng)濟(jì)管理論壇;2012年04期

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