贵溪市住院次均费用控制模式的效果研究

目的:分析住院次均费用控制模式控制医疗费用的效果,找出存在的问题,为贵溪市的新型农村合作医疗发展提供政策建议.方法:比较贵溪市住院次均费用控制模式实施前后两年全省及贵溪市社会经济状况及新型农村合作医疗运行情况相关指标;分析贵溪市5年来参合农民住院次均费用和住院流向等指标的变化情况.结果:贵溪市实施住院次均费用控制模式后,各级医疗机构的住院次均费用水平得到有效的控制,但仍需进一步加强.结论:住院次均费用控制模式强化了医疗机构在费用控制中的作用及其所承担的风险,增强了各级医疗机构费用控制的主动性,对于住院费用控制有一定的作用,但仍不成熟,还需不断地完善.

Effect Research on the Average Hospitalization Expense Control Mode in Guixi City

Objective: To analyze the effects of controlling medical expenses with the average hospitalization expense control mode,find out the existing problems and provide policy proposals for the development of New Rural Cooperative Medical System(NRCMS) in Guixi City.Methods: Comparing the socioeconomic status in Guixi City and operation related indicators of NRCMS between Jiangxi province and Guixi City,on implementing the average hospitalization expense control mode in Guixi City before and after two years.Analyzing indicators’ changing situation of Participating-NRCMS farmers for 5 years in Guixi City,such as average hospitalization expenses and hospitalization direction,etc.Result: The average hospitalization expenses level in medical institutions at different levels has been effectively controlled but still needs further reinforcement,after implementing the average hospitalization expense control mode in Guixi City.Conclusion: Average hospitalization expense control mode has strengthened medical institutions’ effect on expense control and risk assumption,enhanced expense control’s initiative in medical institutions at different levels,taken certain effect on controlling hospitalization expenses.But it is still not mature and needs perfecting.