北京市新型农村合作医疗大病保险实施效果及基金流向研究.pdfVIP

《中国卫生经济》第35卷第1 期(总第395期) 2016年1 月 口合作医疗 北京市新型农村合作医疗大病保险 实施效果及基金流向研究* 贾继荣①，高广颖①，马骋字①，那春霞飞 马千慧①，段婷①，俞金枝② 摘 要 目的:评估北京市新农合大病保险制度实施效果及基金使用情况。方法:通过对北京市SY 区、 PG 区和FS 区新 农合大病患者医疗负担调查数据进行分析，测算大病保险报销前后实际报销比例变化情况;从病称、医疗机构级别及经济收 入水平三个维度分析大病保险基金使用情况。结果:新农合大病保险制度在一定程度上缓解了农村居民的疾病经济负担;新 农合大病保险基金主要流向了二、三级医疗机构，补偿的病种比较集中，曼益公平性良好。结论:新农合大病保险制度在筹 资、补偿以及监管方面有待避-步完善。 新型农村合作医疗;大病保险;实际补偿比;北京 关键词 中图分类号 R1-9; R197.1 文献标志码 A 文章编号 1003-0743(2016)01-0041-04 DOI 10.7664/CH Analysis on Implementation Effects of the Catastrophic Disease Insurance of the New Rural Cooperative Medical Sys- tem and the Flow of Insur ance FundlJlA Ji-ro吨， GAO Guang-ying , MA C heng-yu , et alJ/Chinese Health Economics , 2016, 35(1):41-44 Ab stract Objective: To evaJuate the implementation effects of the catastrophic disease insurance of the New RuraJ C∞perative Medical System(NCMS) and the flow of the insurance fund. Methods: Collecting catastrophic disease patient data of SY District , PG District and FS District with a comparative anaJysis of implementation effects; measuring the changes in practicaJ compensation ratio before and after catastrophic disease insurance reimbursement; anaJyzing insurance fund地 usage from the disease , the levels of medi- caJ institutions and economic leve1. Resu1ts: To a certain extent , the policy of cat凶trophic disease insurance played an important role in relωsing the economic burden on patients with catastrophic diseases in ruraJ ar创. s; the insurance fund flew to second-class hospi- tals and third-class hospi taJs focusing on the special diseases with ~创XI beneficial equity. Conclusion: The financing , reimbursement and supervi sion of catastrophic disease insurance of NCMS remained to be further perfected.