丹江口市新型农村合作医疗资金使用情况纵向分析

目的：了解丹江口市2003-2007年新型农村合作医疗资金使用情况，发现存在的问题，为新型农村合作医疗制度的可持续发展提供参考意见。方法：利用2003-2007年丹江口市新型农村合作医疗资金的有关数据分析并纵向比较。结果：在前后5个运行周期内．丹江口市新型农村合作医疗资金平均使用率77．7％士10．6％．其中95％-99％用于住院和门诊费用的补偿支出；从2004年到2007年，次均住院补偿费用和补偿比基本呈上升趋势。每千名参合农民住院补偿40人次以上，门诊补偿呈下降趋势，次均门诊补偿费用超过20元，补偿比在80％左右。2006年乡镇卫生院、县级和县以上医院住院补偿比分别为22．87％、38．37％、50．41％。结论：需要提取风险准备金和继续加强对体检的投入；增加对慢性病病人的门诊补偿等补偿项目；建立家庭账户的管理信息系统，加强对村卫生室的药品监督。

An analysis and vertical comparison of the allocation of NCMS fund in Danjiangkou

Objective To investigate the allocation of new rural cooperative medical system （NRCMS） fund in Danjiangkou from 2003 to 2007 so as to find out problems and provide plans for reference for the sustainable development of the NRCMS. Methods The data about NCRMS funds from 2003 to 2007 in Danjiangkou county were collected, then a vertical comparison between the five years was made. Results During the five years,the total expenditures accounted for 77. 7%± 10. 6% of the total financing. 95%-99% of the NCRMS fund was used for compensations on medical expenses of inpatients and outpatients. From 2004 to 2007 the average compensation expense per time and the compensation rates on inpatient were increasing. From every thousand farmers participating in the NCRMS the rate of those receiving inpatient compensations amounted to above 40 person times and that for outpatient compensations was descending. The compensation expense on outpatient was low. The compensation expenditure on outpatient was above 20 yuan RMB per time and the compensation rate was about 80%. The compensation rates of the towmship health centres,the hospitals at the county level and those above the county level were 22.87%, 38.37%, 50.41% ,respectively in 2006. ConclusionWe should have risk reserve fund and continuously increase investment upon physical tests, increase the compensation items such as the compensation on medical expenses of chronic disease outpatients,set up an information system of family account management,and strengthen the supervision on drugs used in village clinics.