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新型农村合作医疗中单病种定额付费的病种选择分析
引用本文:马鸣,刘运国,陈埙吹,易春黎,姚岚. 新型农村合作医疗中单病种定额付费的病种选择分析[J]. 中国卫生经济, 2007, 26(7): 30-32
作者姓名:马鸣  刘运国  陈埙吹  易春黎  姚岚
作者单位:1. 华中科技大学附属协和医院,武汉,430022
2. 国家卫生部国外贷款办公室,北京,100009
3. 国家民政部最低生活保障司医疗救助处,北京,100721
4. 华中科技大学同济医学院医药卫生管理学院,武汉,430030
基金项目:国家卫生部国外贷款办公室农村卫生政策应用研究项目
摘    要:通过对陕西省镇安县以及其他实行单病种定额付费的县所选择的单病种进行平均费用和顺位分析,发现取疾病顺位前10 ̄15位的疾病作为单病种就可以取得较好的控制费用效果,为了便于操作可以考虑增加手术病种比例。研究还发现,当地管理者所推崇的按照“病情简单、费用稳定”的原则来确定病种并不可行。

关 键 词:新型农村合作医疗  单病种定额付费  分析
文章编号:1003-0743(2007)07-0030-03
修稿时间:2007-05-28

An Analysis on the Diseases-Choosing of the Quota Payment of Specific Diseases in the New Rural Cooperative Medical System
MA Ming, LIU Yun-guo, CHEN Xun-chui, et al. An Analysis on the Diseases-Choosing of the Quota Payment of Specific Diseases in the New Rural Cooperative Medical System[J]. Chinese Health Economics, 2007, 26(7): 30-32
Authors:MA Ming   LIU Yun-guo   CHEN Xun-chui   et al
Affiliation:Xie He Hospital of Hua Zhong University of Science and Technology, Wuhan, 430022, China
Abstract:The method of choosing the first 10-15 places at the diseases list to be the single-disease is turned out to be good and operative for controling the medical expenditure through the analysis on the expenditure and disease rank of the single-diseases in Zhen'an. Beside this,it is more easy to operate that some more surgery diseases can be chosen. However,it is not feasible to choose single-diseases according to steady diseases expenditure believed by local managers.
Keywords:new rural cooperative medical system   quota payment of specific diseases  analysis
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