南京市新型农村合作医疗运行情况分析

文章对南京市新型农村合作医疗的运行情况进行分析,发现参合人数不断增加,筹资水平逐年提高;实现了以大病统筹为主的政策要求,但资金结余率偏高;不同级别医院的住院人次分布不均衡?建议规范定点医疗机构的服务行为;实行逐级转诊制度;加强乡镇卫生院的建设;积极探索补偿方法和费用支付方式;建立健全新型农村合作医疗管理信息系统?

Status quo of the new rural cooperative medical system in Nanjing city

The article analyzed the status quo of the new rural cooperative medical system (NRCMS) in Nanjing city. The results of the investigation showed that NRCMS covered the rural population that increased continuously and the financing level rose year by year. It had realized severe illnesses orchestration that was more than other illnesses as principle of the policy, but the funds surplus rate was higher. The hospitalization person distribution was unbalance in the different rank hospitals. The author suggested that the service behavior of the contract medical treatment organization should be normalized, medical practice in hospital should be pursued class by class, township health center should strengthen building up, and reimbursement method and the way of expenses to pay should be actively carried out. NRCMS management information system should be built up and improved.