引用本文:侯万里,李永斌,王芳,等.全国重点联系城市社区卫生服务机构医保工作进展[J].中国卫生政策研究,2010,3(2):17-20 |
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全国重点联系城市社区卫生服务机构医保工作进展 |
投稿时间:2009-12-18 修订日期:2009-12-26 PDF全文浏览 HTML全文浏览 |
侯万里, 李永斌, 王芳, 卢祖洵 |
华中科技大学同济医学院公共卫生学院 |
摘要:目的:了解全国重点联系城市社区卫生服务医疗保险工作的进展情况。方法:通过问卷对全国重点联系城市社区卫生服务机构进行基线调查和常规监测,并进行比较分析。结果:2008年,全国重点联系城市社区卫生服务中心和站纳入医保定点机构的比例分别为96.60% 和65.53%,其中有医保收入的比例分别为84.21%和49.27%,医保收入占业务收入比例分别为28.00% 和20.00%,医保患者构成比分别增加23.12%和12.52%;以上四个方面,东、中、西部呈不均衡发展态势。结论:重点联系城市社区卫生服务与医保衔接工作正稳步推进,但仍有很大的发展空间。 |
关键词:社区卫生服务机构 医疗保险 进展 |
基金项目:卫生部课题“全国社区卫生服务体系建设重点联系城市基线调查与常规监测”。 |
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HOU Wan-li, LI Yong-bin, WANG Fang, LU Zu-xun |
School of Public Health, Tongji Medical College, Huazhong University of Science and Technology |
Abstract:Objective: To understand the development of medical insurance in community health facilities of the key contact cities. Methods: A base line investigation and a routine survey were carried out by using a questionnaire, and comparative analysis between the two surveys was conducted. Results: It was shown that the affiliated centers or stations with the medical insurance administration are 96.60 percent and 65.53 percent respectively in 2008. The rate of receiving insurers payment for centers or stations is 84.21 percent and 49.27 percent respectively. The income from medical insurance administration over total income in 28 percent for centers and 20 percent for stations respectively. The insured patients increase 23.12 percent in centers and 12.52 in stations respectively. In general, all the above four features are unbalanced cross eastern, middle, and western areas. Conclusions: The implementation of medical insurance in community health facilities of the key contact cities is steadily advancing, while there is still a long way to go. |
Key words:Community health facilities Medical insurance Progress |
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