| 引用本文：段婷, 高广颖, 沈文生, 贾继荣, 张斌.新农合大病保险制度受益归属与实施效果分析——以吉林省为例[J].中国卫生政策研究,2014,7(11):43-47 |
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| 新农合大病保险制度受益归属与实施效果分析——以吉林省为例 |
| 投稿时间：2014-10-08 修订日期：2014-11-05 PDF全文浏览 HTML全文浏览 |
| 段婷1, 高广颖1, 沈文生2, 贾继荣1, 张斌2 |
1. 首都医科大学卫生管理与教育学院 北京 100069;
2. 吉林省卫生和计划生育委员会 吉林长春 130051 |
| 摘要:目的:对吉林省新农合大病保险实施效果进行评价,并对其受益归属进行分析,最终对吉林省新农合大病保险政策的完善提出参考建议。方法:对相关人员进行深入访谈,了解大病保险运行现状;收集吉林省2013年大病保险患者的所有数据,对9个地区实施效果进行对比分析;运用Spearman秩相关分析方法对大病保险受益归属进行分析。结果:新农合大病保险实施效果良好,对大病患者经济负担减轻作用显著,经过大病保险报销,患者自付费用平均减少4 336.52元,实际补偿比提高11.15个百分点;统计分析结果显示,大病保险受益程度与经济水平呈弱相关,受益公平性较好,但略偏向富人。结论:应完善、细化新农合大病保险报销方案,提高不同地区受益公平性,以达到缓解“因病致贫、因病返贫”的目的。 |
| 关键词:新农合大病保险 受益归属 实施效果 |
| 基金项目:北京市教育委员会2014年度科技计划重点项目(SZ201410025008);首都医科大学研究生教学质量提高经费项目(0900-1141360807) |
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| Analysis of benefit incidence and implementation effects on catastrophic disease insurance of the New Rural Cooperative Medical System: A case in Jilin Province |
| DUAN Ting1, GAO Guang-ying1, SHEN Wen-sheng2, JIA Ji-rong1, ZHANG Bin2 |
1. School of Health Administration and Education, Capital Medical University, Beijing 100069, China;
2. Health and Family Planning Commission of Jilin Province, Changchun Jilin 130051, China |
| Abstract:Objective: To analyze the benefit incidence and evaluate the implementation effects on catastrophic disease insurance under the New Rural Cooperative Medical System (NRCMS) in Jilin Province and put forward suggestions to perfect the catastrophic disease insurance under NRCMS. Method: In-depth interviews with related staff were conducted to gain an understanding of the operating status of catastrophic disease insurance under NRCMS; catastrophic disease patient data of Jilin Province from 2013 were collected, with a comparative analysis of implementation effects among nine districts; the benefit incidence was analyzed by means of the Sperman rank correlation analysis; Results: The policy of catastrophic disease insurance under the NRCMS exhibited sound implementation effects and played an important role in reducing the economic burden of catastrophic disease patients. The average individual expenditure decreased by 4336.52 yuan, while the reimbursement rate increased by 11.15% after NRCMS catastrophic disease insurance reimbursements. Additionally, statistical analysis results showed that there was a weak correlation between benefit incidence and economic level, the benefit equality of catastrophic disease insurance under NRCMS was relatively good, but the benefit level of rich patients was slightly higher. Conclusion: The reimbursement scheme of catastrophic disease insurance under NRCMS should be refined and improved, and the benefit fairness of different districts must be ensured, thus achieving the goal of relieving the “poverty caused by illness” phenomenon. |
| Key words:NRCMS catastrophic disease insurance Benefit incidence Implementation effects |
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