江西省新型农村合作医疗门诊补偿公平性研究

袁兆康; 韩冰; 方丽霖; 廖小兵; 肖云昌; 洪鹰

引用本文：袁兆康,韩冰,方丽霖,等.江西省新型农村合作医疗门诊补偿公平性研究[J].中国卫生政策研究,2011,4(8):34-37

江西省新型农村合作医疗门诊补偿公平性研究

投稿时间：2011-03-15 修订日期：2011-06-07 PDF全文浏览 HTML全文浏览

1.南昌大学公共卫生学院;2.江西省卫生厅

摘要:目的：从门诊补偿公平性的角度，评价新农合制度的实施效果，为进一步完善新农合实施方案提供科学依据。方法：采用全面调查的方法调查了江西省第一、二、三批共40个新农合试点县2006—2008年的门诊补偿资料，以集中指数（CI）、不平等斜率指数（SII）作为评价指标。结果：2006—2008年，全省门诊补偿总受益率、乡村两级医疗机构门诊总受益率均略有下降，但主要表现在高收入农民门诊受益率下降，低收入农民门诊受益率却有较明显上升，且门诊补偿总受益率的CI接近于0，CI和SII指数也由正转负；全省及各级医疗机构的总次均门诊补偿费用均逐年上升，CI均接近于0，但CI和SII指数基本都由负转正。结论：全省农民门诊补偿公平性总体较好，但门诊补偿受益率仍处于较低水平，经济状况较差试点县的门诊补偿强度需进一步加强。

关键词:新型农村合作医疗公平性门诊补偿

基金项目:国家自然科学基金“新型农村合作医疗公平性研究”（70763007）

A study of the out patient compensation equity of New Rural Cooperative Medical Scheme in Jiangxi province

Abstract:Objective： This study evaluates the operating effect of New Rural Cooperative Medical Scheme (NRCMS) in terms of the out patient compensation equity in order to provide scientific evidence to improve it. Methods： We make a complete survey to investigate the out patient compensation data of the first, second and third batch in total of 40 pilot counties which implementing NRCMS from 2006 to 2008 in Jiangxi province. The concentration index (CI) and slope index of inequity (SII) are used as the evaluation indexes. Results： From 2006 to 2008, both the province’s and the county and town’s total out patient compensation benefit rate decreased slighting. However, they are mainly in high income farmers, and the low income farmers’ out patient benefit rate has a significant increase. Their CI of the total out patient benefit rate is close to 0, the CI and SII index change to negative from positive. The average out patient compensation expense per time of the province and medical institutions at all levels increased year by year, the CI all closed to 0, but the CI and SII index turn to positive from negative. Conclusion： The province’s compensation equity of out patient is preferable. However, the out patient compensation benefit rate is still at a relatively low level. The poorer pilot counties’out patient compensation intensity need to be further strengthened.

Key words:New Rural Cooperative Medical Scheme Equity Out patient compensation

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