摘要
目的:为新型农村合作医疗大额门诊补偿制度发展提供政策建议。方法:以时间和区域维度,采用统计图表描述制度在时间上的发展趋势和在地区间的发展差异,采取组间比较分析,推测门诊服务与住院服务之间的关系,部分信息采取访谈法。结果:大额门诊补偿制度得到发展,地区间政策差异大,实际补偿比低于县级住院,年度人头门诊费用较高,大额门诊存在对住院的部分替代作用。建议:省级层面规范大额门诊病种,提高补偿水平,同步提高住院起付线。适当扩大基层机构的用药种类,制定用药目录,开展诊疗培训和用药指导。探索推进全科团队签约服务与新型农村合作医疗补偿相结合,实现基本医疗与基本公卫协调配合,提供连续性服务。
Objective： To provide policy suggestion on the development of large outpatient compensation system under new rural cooperative medical system. Methods： With the dimension of time and region, statistical chart was applied to describe development trend and regional differences. The group comparison was employed to speculate the relationship between the outpatient and hospitalization. Results： The reimbursement policy of outpatient service has been developed in recent years. The regional policies were different. The compensation level of outpatient service was lower than county-level hospitals. Large outpatient service was substitute for hospitalization. Suggestion： It suggested to standardize the large disease types in outpatient from the provincial hierarchy, improve the compensation level and hospitalization deductible. It needed to appropriately enlarge the pharmacy types of primary institutions, make pharmacy list, conduct treatment training and technical guidance. In addition, it also needed to coordinate the general group contract service and the compensation of new rural cooperative medical system, realize the coordination of primary heahhcare and public healtheare and provide sustainable service.
出处
《中国卫生经济》
北大核心
2016年第10期36-38,共3页
Chinese Health Economics
基金
四川省教育厅青年重点基金项目(13SA0175)
四川省教育厅一般项目(15SB0057)
四川省基层卫生事业发展研究中心重点项目(SJWF1407)
关键词
新型农村合作医疗
大额门诊补偿制度
门诊服务
住院服务
new rural cooperative medical system
reimbursement policy of outpatient service
outpatient service： inpatient service
