福建新型农村合作医疗基线调查20万住院病例基本规律研究

[目的]分析福建省新型农村合作医疗(新农合)基线调查住院病例基本信息,为补偿方案测算提供依据。[方法]颁发和培训2种住院病例基线调查数据库模版(Excel与SPSS),在19个县市收集2004年和2005年206969例数据,用SPSS软件包统计分析。[结果]乡、县及县以上3级医院平均住院费为711、2702和9387元,病例数分别占38.3%、48.3%和13.4%;医院级别越高住院天数越多(3.3、6.6与13.8天,平均6.1天);获得一些单病种平均住院费数据。[结论]我省2007年扩大试点时,有关县市可不再进行重复性的入户调查和基线调查;可供参考的补偿方案是(设住院率为5%):3级医院的起付线可定为100、300和800元;补偿比分别可达60%、40%和35%;封顶线均为2万元。单病种平均住院费数据可供参考。

Study on 200 Thousand Hospitalized Cases in Baseline Survey on New Cooperative Medical System in Fujian,China

[Objective] To survey the baseline information of hospitalized cases for formulating the remedy scheme of new cooperative medical system(NCMS)in Fujian,China.[Method] The application of two kinds of defined empty database(Excel and SPSS package)for survey was trained for 19 counties.The baseline data of about 206 969 hospitalized cases were collected in 2004-2005 and analyzed by SPSS.[Results] The hospitalization fares were 711,2 702 and 9 387 Yuan in township,county and higher levels,and case percentages were 38.3%,48.3% and 13.4%.The more hospital levels,the more days at hospital(3.3,6.6 and 13.8,the mean was 6.1).Mean hospitalization and single kind of diseases fares have obtained.[Conclusion] NCMS in Fujian next year,the repeating baseline survey in experimental units seems to be unnecessary.Remedy Scheme formulated for reference(when hospitalization rate is 5%)at 3 hospital levels may be:100,300,800 Yuan(beginning points)and 60%,40%,35%(remedy ratio)and 20 thousand Yuan(maximum remedy).The mean fares of some single kind of diseases are useful.