宁夏建立新型农村合作医疗保障模式的研究

目的探索适合宁夏不同经济水平地区的新型合作医疗模式。方法对隆德、平罗县的新型农村合作医疗管理(结算)中心、县乡医疗机构、县乡政府机构、农户进行深入调查，了解资金筹集、管理、运行、农民补偿模式及补偿测算和医疗机构费用控制等方面的问题，提出对策。结果资金实行封闭运行，银行要直接给农民兑付补偿金，提供方便快捷的报销模式，缩短筹资的时间，减少新型农村合作医疗的成本．提高医疗机构服务能力，有利于新型农村合作医疗制度的建立；川区平罗县的县、乡起付线分别为250元、200元，封顶线为9665元，县、乡级补偿比分别为50％、55％；山区隆德县的县、乡起付线分别为140元、90元，封顶线为1970元，县、乡级补偿比分别为60％、65％。结论保证资金的安全运行、给农民提供方便快捷的报销方式和提高医疗服务质量，是建立新型农村合作医疗的基本要求，也是必备条件；宁夏不同经济水平地区的起付线、封顶线及补偿比应不同，不同经济水平地区实行不同分段按比例补偿比。

The study of building new cooperation medical service security model in Ningxia rural area

Objective To explore a new health care model for different regions in different economic level in Ning xia Hui Autonomous region .Methods A survey was done in farmers , the new health care center , town hospital and so on.To comprehend the management,usage and collection for the funds specific.Making up model and the fee control model was the another hand.Results Such measurement benefit was by improve the level of medical institute ,including mange the fund closely,pay the compensation bill through bank directory, provide convenient wipe off way ;the threshold for Pin luo country and town was 250,200 yuan, the top was 9665 Yuan, compare for the mountain area Long de country were 140, 90 and 1970 yuan , the ratio for country and town is 60% and 65%.Conclusion Assure the fund run safely , provide convenient wipe off way and improve the medical quality is the basic for estimation of new cooperation medical service model.the threshold and top for compensation and compensation ratio should be different in different economic level region.