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福建新型农村合作医疗基线调查20万住院病例基本规律研究 被引量:10

Study on 200 Thousand Hospitalized Cases in Baseline Survey on New Cooperative Medical System in Fujian,China
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摘要 [目的]分析福建省新型农村合作医疗(新农合)基线调查住院病例基本信息,为补偿方案测算提供依据。[方法]颁发和培训2种住院病例基线调查数据库模版(Excel与SPSS),在19个县市收集2004年和2005年206969例数据,用SPSS软件包统计分析。[结果]乡、县及县以上3级医院平均住院费为711、2702和9387元,病例数分别占38.3%、48.3%和13.4%;医院级别越高住院天数越多(3.3、6.6与13.8天,平均6.1天);获得一些单病种平均住院费数据。[结论]我省2007年扩大试点时,有关县市可不再进行重复性的入户调查和基线调查;可供参考的补偿方案是(设住院率为5%):3级医院的起付线可定为100、300和800元;补偿比分别可达60%、40%和35%;封顶线均为2万元。单病种平均住院费数据可供参考。 [Objective] To survey the baseline information of hospitalized cases for formulating the remedy scheme of new cooperative medical system (NCMS) in Fujian, China. [Method] The application of two kinds of defined empty database (Excel and SPSS package) for survey was trained for 19 counties. The baseline data of about 206 969 hospitalized cases were collected in 2004-2005 and analyzed by SPSS. [Results] The hospitalization fares were 711,2 702 and 9 387 Yuan in township, county and higher levels,and case percentages were 38.3% ,48.3% and 13.4%. The more hospital levels, the more days at hospital (3.3, 6.6 and 13.8,the mean was 6. 1). Mean hospitalization and single kind of diseases fares have obtained. [Conclusion] NCMS in Fujian next year, the repeating baseline survey in experimental units seems to be unnecessary. Remedy Scheme formulated for reference (when hospitalization rate is 5 %) at 3 hospital levels may be: 100, 300, 800 Yuan (beginning points) and 60% ,40% ,35% ( remedy ratio) and 20 thousand Yuan (maximum remedy). The mean fares of some single kind of diseases are useful.
出处 《海峡预防医学杂志》 CAS 2007年第1期7-9,共3页 Strait Journal of Preventive Medicine
关键词 新型农村合作医疗(新农合) 基线调查 补偿方案 住院病例 New Cooperative Medical System (NCMS) Baseline Survey Remedy Scheme Hospitalized Cases
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