【摘要】：新型農(nóng)村合作醫(yī)療(以下簡稱“新農(nóng)合”)是實行門診統(tǒng)籌與住院統(tǒng)籌相結(jié)合的農(nóng)村居民基本醫(yī)療保障制度.至2013年該制度已基本覆蓋全國各地農(nóng)村居民,并且全面推行大病醫(yī)保試點工作,建立更加公平可持續(xù)的社會保障制度.然而如何根據(jù)各地具體情況,制定有效的新農(nóng)合基金補(bǔ)償機(jī)制,較精細(xì)地預(yù)測本地區(qū)新農(nóng)合參保人員未來周期的各種醫(yī)療費用,以及通過運行過程及時監(jiān)測和控制不合理費用增長是各地方政府以及新農(nóng)合基金管理者亟待解決的問題. 本文試圖用統(tǒng)計學(xué)原理和方法對2007年～2013年福建省永泰縣新農(nóng)合基金運行數(shù)據(jù)從性別、年齡、季節(jié)、疾病類型等多個視角對住院報銷人數(shù)、總住院費用進(jìn)行統(tǒng)計分析與預(yù)測；用聚類分析對不同區(qū)域報銷特點相似性進(jìn)行探索.最后根據(jù)分析所得到的結(jié)果,對永泰縣新農(nóng)合基金管理等提出參考建議,希望能夠為管理者作決策時提供科學(xué)參考與借鑒.
[Abstract]:The New Rural Cooperative Medical system (hereinafter referred to as "New Rural Cooperation") is a basic medical security system for rural residents. By 2013, the system has basically covered rural residents in all parts of the country, and the pilot work of health insurance for serious illness has been carried out in an all-round way, and a more equitable and sustainable social security system has been established. However, how to formulate an effective NRCF compensation mechanism according to the specific conditions in various regions, and more accurately predict the various medical costs of the NRCC insured personnel in the region in the future cycle, And timely monitoring and control of unreasonable cost growth through the operation process are the urgent problems to be solved by the local governments and the managers of the new rural cooperative fund. This paper attempts to use the statistical principle and method to analyze and predict the total hospitalization expenses and the number of inpatient reimbursement from gender, age, season, disease type and so on from the perspective of gender, age, season, disease type and so on, from 2007 to 2013 in Yongtai County, Fujian Province. The similarity of reimbursement characteristics in different regions was explored by cluster analysis. Finally, according to the results of the analysis, this paper puts forward some suggestions for the management of the new rural cooperative fund in Yongtai County, hoping to provide scientific reference and reference for the managers when making decisions.
【學(xué)位授予單位】：福建師范大學(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

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