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基于内蒙古自治区城乡居民基本医疗保险一体化的居民个人筹资额度与筹资可行性分析
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Feasibility analysis of individual financing and the individual financing amount: Based on the basic medical insurance of urban and rural residents in the Inner Mongolia Autonomous Region
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    摘要:

    目的:测算内蒙古自治区不同补偿方案下居民个人筹资额度,分析内蒙古自治区城乡居民基本医疗保险一体化进程中居民个人的筹资可行性。方法:运用绝对关联模型、相对关联模型以及综合关联度等多种方法,对2011-2015年内蒙古自治区不同补偿方案下的居民个人筹资额度进行测算,并分析其筹资可行性。结果:无论哪类补偿方案下,五年间居民个人人均所需筹资额度增长幅度均在2倍以上,平均年增长25%以上;其中三类补偿方案(30%门诊+70%住院)与四类补偿方案(40%门诊+70%住院)综合关联度介于[0.60;0.85]之间,一类补偿方案的关联度相对过高,达到0.920;五类补偿方案的关联度相对较低,达到0.508。结论:内蒙古自治区居民个人人均所需筹资额度逐年增长,三类补偿方案(30%门诊+70%住院)与四类补偿方案(40%门诊+70%住院)可行性较高。

    Abstract:

    Objective: To calculate the individual financing amount of residents under different compensation schemes in Inner Mongolia Autonomous Region, and to analyze the feasibility of financing individual residents in the process of integration of basic medical insurance for urban and rural residents in Inner Mongolia Autonomous Region. Methods: Based on the absolute correlation model, the relative correlation model and the comprehensive correlation degree, the author calculated the individual financing quota of different compensation schemes in Inner Mongolia Autonomous Region from 2011 to 2015, and analyzed the feasibility of its financing. Results: In 5 kinds of compensation scheme, the increase in the amount of funds required for the residents in the five years was more than 2 times, and the average annual growth rate was more than 25%. Three types of compensation programs (30% outpatients + 70% hospitalized) The correlation degree of the compensation scheme (40% outpatient service + 70% hospitalization) is between 0.60 and 0.85, and the correlation degree of the compensation scheme is relatively high to 0.920. The correlation degree of the five compensation schemes is relatively low 0.508. Conclusion: The amount of funding required for individual residents in Inner Mongolia Autonomous Region increased year by year, and the three types of compensation programs (30% outpatient service + 70% hospitalization) were more feasible than the four types of compensation programs (40% outpatient service + 70% hospitalization)

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薛清元,杜惠峰,范艳存.基于内蒙古自治区城乡居民基本医疗保险一体化的居民个人筹资额度与筹资可行性分析[J].中国卫生经济,2018,(3):42-45.基于内蒙古自治区城乡居民基本医疗保险一体化的居民个人筹资额度与筹资可行性分析[J]. CHINESE HEALTH ECONOMICS,2018,(3):42-45.

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