2003-2010年深圳市参保农民工就医特征分析.pdfVIP

第25卷第8期 Vol.25 NO.8 医学与社会 2012年8月 Medicine and Society Aug.2012 • 59 • 2003-2010年深圳市参保农民工就医特征分析 王弗珞吴静熊光练 华中科技大学同济医学院公共卫生学院，武汉，43∞30 摘 要 目的:分析深圳市农民工医疗保险状况，探讨医保推进过程中存在的问题，为政策的制定和实施提供参考。方法:运 用深圳市社会保险管理局统计资料，采用描述性分析的方法，分析指标包括基本特征、医疗服务利用和医保基金。结果:农民工医 保人数占医保总人口的50.601问参保的农民工中，选择农民工医保险种的有ω.75%0 参保人就医人次总数和人均次数明显增长; 门诊医疗人次数远多于住院人次数，均次费用均呈降低趋势。总诊疗费高于总药品费，两者增长趋势合理。农民工医保筹资水平 低，基金结余近年减少。结论:深圳市参保农民工就诊意识提升，就医状况改善。医疗费用增长中，诊疗费比例较高。医保基金结 余率呈降低趋势，筹资与支付平衡有待进一步合理控制。 关键词农民工;医疗保险 中图分类号 R197.1 文献标识码 A D0I.10 .3870fYXYSH.2012.08.021 Ana1ysis on the Characteristics of Medica1 Treatment of the Participant in Labor Workers Medica1 Insurance in Shenzhen 叠。m 2003 to 2010 Wang weiwei et al SCMol 01 Public Health , Tongji Medical College, HUS T, Wuh剧， 43ω130 Abstract Objective: Analysis Lahor Workers Medical Insurance , to investigate the problems in promoting the 可stem. Methods: The data is from Shenzhen Health Bureau in 2∞3 to 2010. 四is study concems the basis situation, the occurrence of medical se凹ices and the fund situation. Results: 咀le percentage of people participated in Labor Workers Medical Insurance is 50.6% of all insured person; and the percentage is 60.751毛 of all insured migrant workers. The numbers of total visits and per capital visi恼缸e obviously increased; the outpatient happens more often than the inpatient; the cost per visit of outpatient and inpatient has a decreasing trend. Total medical costs are higher than total drug costs, and they have a consistent gl咀，wth trends. The fundraising level is lower for La