2012年绵阳市新农合大病患者情况分析

目的：分析绵阳市2012年参合住院患者中大病医疗相关情况，对实施大病保险政策提出建议。方法：应用SQL SEVER2008数据库对2012年参合住院患者中大病医疗相关情况进行分析。结果：大病医疗患者占参合农民25．42／万，占患病总人数2．48％，占住院总人次1．83％；患病年龄集中在30～59岁；大病患者主要选择统筹区外医疗机构就医；次均住院费用越高，新农合实际报销比越低。结论：大病患者的保障水平与新农合解决大病、重病的宗旨，以及参合患者的期望值尚存在一定差距，有必要开展大病保障工作；建议大病保险政策重点覆盖的合规费用段为1～3万元，这能进一步增强农村青壮年人群的抗灾难性医疗支出能力，有利于农村社会经济良性可持续发展。

Status quo of supportability for NRCMI patients with serious diseases in Mianyang in 2012

Objective To analyze the information about inpatients enrolled in new rural cooperative medical insurance （NRCMI） paying high medical expenses in Mianyang in 2012,and to provide suggestions for the implementation of the critical illness insurance policy. Methods SQL SEVER2008 database was used to analyze the information about the pa- tients enrolled in NRCMI who had to pay high medical expenses. Results The proportion of such patients was 25.42/10 thousand of all farmers with NRCMI,aeeounting for 2.48% of all patients, 1. 83% of the total number of inpatients. Their age ranged chiefly between 30 and 59. Most of the patients chose medical institutions beyond the registered permanent residence for medical treatment. The higher the average hospitalization expenses, the lower the actual reim- bursement ratio. Conclusions There was still a certain gap between the supportability of insurance for patients with seri- ous diseases and the aim of new rural cooperative medical scheme, which is to secure patients with serious diseases, so it is necessary to carry out serious illness insurance policy. It is suggested that the cost coverage range of serious illness insurance policy be from 10000 to 30000 yuan, which can further enhance the ability to resist catastrophic health expenditure of rural young adults, so as to ensure the sustainable rural social and economic development.