2009-2014年新疆伊犁州新型农牧区合作医疗实施状况分析
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摘要
目的:了解伊犁州新型农牧区合作医疗2009-2014年实施状况及存在的问题,为完善当地新型农牧区合作医疗提供建议。方法:采用Excel表格进行统计分析。结果:伊犁州新农合参合农牧民数和参合率的增长速度均高于全疆水平,正逐步缩小与全疆新农合参合状况的差距。伊犁州筹资结构由自治区补助为主,地方为辅,发展为中央承担为主,地方为辅。2014年新农合人均筹集资金达到400元,但2009-2014年新农合人均筹资均低于全疆水平。伊犁州新农合人均筹集资金的平均增长率高于全疆水平,两者差距逐渐缩小;新农合筹集资金和基金支出增长速度高于全疆平均水平。全疆的基金使用率标准差6.10,低于伊犁州新农合基金使用率标准差7.61。伊犁州基金使用风险更大,新农合的补偿状况更需要改善和控制,新农合可持续发展性缺乏。结论:政府应当因地制宜,增加医疗机构;维持高水平的投入,减轻居民负担,提高住院补偿比;统筹筹资与支出,维持长期可持续发展;建立风险储备机制。
Objective: To understand the status and problems of the implementation of cooperative medical system in the new agricultural and pastoral areas of Yili in 2009-2014,so as to provide suggestions for the improvement of the new rural cooperative medical care system. Methods: Excel was used for statistical analysis. Results: The growth rate of farmers and herdsmen,farmers and herdsmen participating in the new rural cooperative medical system in Yili were higher than that of Xinjiang. The gap with the new rural cooperative medical system in Xinjiang was gradually narrowing. The financing structure of Yili Prefecture was mainly supplemented by the local subsidy. Now the central government took a large proportion. In 2014,the per capita funds raised by the new rural cooperative medical scheme in Yili reached 400 yuan. The per capita income of the new rural cooperative medical scheme in Yili was lower than that in Xinjiang in 2009-2014. The average growth rate of per capita funding for the new rural cooperative medical system in Yili was higher than that of Xinjiang,and the gap was gradually narrowing. The growth rate of fund raising and fund expenditure in Yili area was higher than the average level. The standard deviation of the fund utilization rate of 6.10 was lower than the standard deviation of Yili NCMS fund utilization rate of 7.61. The fund of Yili was more risky to use. The compensation situation of Yili new rural cooperative medical system needs to be improved and controlled. Conclusion: The government should increase the number of medical institutions according to local conditions,maintain a high level of investment,reduce the burden of residents,improve the hospitalization compensation ratio,over plan financing and expenditure,maintain long-term sustainable development,and establish a risk reserve mechanism with accurate measurement.
Objective: To understand the status and problems of the implementation of cooperative medical system in the new agricultural and pastoral areas of Yili in 2009-2014,so as to provide suggestions for the improvement of the new rural cooperative medical care system. Methods: Excel was used for statistical analysis. Results: The growth rate of farmers and herdsmen,farmers and herdsmen participating in the new rural cooperative medical system in Yili were higher than that of Xinjiang. The gap with the new rural cooperative medical system in Xinjiang was gradually narrowing. The financing structure of Yili Prefecture was mainly supplemented by the local subsidy. Now the central government took a large proportion. In 2014,the per capita funds raised by the new rural cooperative medical scheme in Yili reached 400 yuan. The per capita income of the new rural cooperative medical scheme in Yili was lower than that in Xinjiang in 2009-2014. The average growth rate of per capita funding for the new rural cooperative medical system in Yili was higher than that of Xinjiang,and the gap was gradually narrowing. The growth rate of fund raising and fund expenditure in Yili area was higher than the average level. The standard deviation of the fund utilization rate of 6.10 was lower than the standard deviation of Yili NCMS fund utilization rate of 7.61. The fund of Yili was more risky to use. The compensation situation of Yili new rural cooperative medical system needs to be improved and controlled. Conclusion: The government should increase the number of medical institutions according to local conditions,maintain a high level of investment,reduce the burden of residents,improve the hospitalization compensation ratio,over plan financing and expenditure,maintain long-term sustainable development,and establish a risk reserve mechanism with accurate measurement.
引文
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[3]刘瑞.新型农牧区合作医疗面临的问题与对策研究-以新疆呼图壁县“新农合”运行状况为例[J].新疆农垦经济,2015,14(5):42-44.
[4]卢祖洵,陈金华,汪凯.社会保险学[M].北京:人民卫生出版社,2012.
[5]曾文娟.新型农牧区合作医疗定点医疗机构监管实践的思考探析[J].公共卫生与卫生防疫,2015,15(21):216.