摘要
自2003年我国实施新型农村合作医疗制度以来,在各省市自治区的运行过程中普遍存在报销比例、封顶线过低,起付线过高等问题,而这些问题的存在与缺少可行的统计测算方法有关。本文提出了两种可行的测算方法,一是基于初始数据的测算方法;二是基于总体密度曲线的测算方法。相比而言,第二种方法更为实用、准确,可以在新农合实施过程中方便地测算报销比例、起付线和封顶线,以确定它们的合理数值,解决当前的沉淀基金过多的问题。
Since the implementation of China's new rural cooperative medical system in 2003,problems of too low reimbursement ratio and top-limit for compensation,as well as too high threshold for compensation exist universally,whose existence is highly related to the absence of feasible statistical calculating methods.This paper gives two practicable calculating methods.One is based on the original data,and the other on the general density curve.In comparison,the second method is more practical and accurate,which can be used to conveniently determine the appropriate reimbursement ratio,the proper threshold and top-limit for compensation so as to avoid the problem of excessive precipitation fund.
出处
《西北农林科技大学学报(社会科学版)》
CSSCI
2011年第2期13-16,共4页
Journal of Northwest A&F University(Social Science Edition)
基金
国家自然科学基金项目(70871080)
上海市重点学科项目(S30504)
关键词
新型农村合作医疗制度
测算方法
cooperative medical system
institution
calculation