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新型农村合作医疗总额预付制对住院受益程度的影响
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The effect of global budget of New Rural Medical Care on the benefit of inpatient
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    目的:分析新农合总额预付制对次均住院补偿、住院补偿比、次均住院自付费用和住院自付比例的影响。方法:采用倍差法控制非干预因素,测算总额预付制的净影响。结果:新农合总额预付制使次均住院补偿下降了14.37元,但不具有统计学意义;住院补偿比上升了5.23个百分点,次均住院自付费用下降了141.51元,自付比例下降了5.23个百分点,均有统计学意义;对具体病种的影响存在差异。结论:新农合总额预付提高了住院受益程度,但因病种不同而不同,总额预付标准测算仍需科学化与合理化。

    Abstract:

    Objective: To analyze the effect of global budget of New Rural Medical Care on the per-visit inpatient compensations,inpatient compensation rates,per-visit inpatient out-of-pocket expenses and inpatient out-of-pocket rates.Methods:The difference in difference method was used. Results:Global budget of New Rural Medical Care decreased the per-visit inpatient compensations,per-visit inpatient out-of-pocket expenses and inpatient out-of-pocket rates by 14.37 yuan(not statistically significant),141.51yuan(statistically significant) and 5.23 percent(statistically significant),respectively.Furthermore,global budget of New Rural Medical Care increased inpatient compensation rates by 5.23 percent(statistically significant).For the detail diseases,the effects of global budget of New Rural Medical Care were different. Conclusion:Global budget of New Rural Medical Care increased the inpatient benefit ,but the effect was varies by conditions.In addition,measurement of global budget’’s standard still need to be scientific and reasonable.

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薛秦香,苏敏,孙璐鑫.新型农村合作医疗总额预付制对住院受益程度的影响[J].中国卫生经济,2017,(5):59-64.新型农村合作医疗总额预付制对住院受益程度的影响[J]. CHINESE HEALTH ECONOMICS,2017,(5):59-64.

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