摘要
[目的]分析不规范行为的分布,为加强新农合定点医疗机构监管提供决策依据与参考。[方法]按病种抽查样本县(市)、乡级定点医疗机构住院参合与非参合病例,判断与分析存在的不规范行为。[结果]不规范行为中用药过度与自立项目收费占抽查病例数的56%;参合病例收费不规范行为多于非参合病例;县级医院病例用药不规范与收费不规范行为高于乡级医院。[结论]不规范行为中以用药过度与自立项目收费最多见,定点医疗机构的不规范行为因就诊对象、主体不同而有一定差别。
[Objective] To analyze the distribution of the unregulated actions, and offer some evidences to strengthen the supervision to appointed medical institutions of new rural CMS. [Methods] Participated and non-participated cases were selectively examined according to the types of diseases in the sample hospitals of the country and county to analyze and judge the existing unregulated actions. [ Results] Excessive medicine application and unapproved charges accounted for 56% of the cases selectively-examined. The number of participated cases＇ unregulated actions were more than that of non-partcipated cases. The number of unregulated actions in the counties was more that, that in countries. [Conciusion] Excessive medicine application and unapproved charges are the mostly common unregulated actions. The unregulated actions in appointed hospitals differ from each other due to the different patients and cases.
出处
《现代预防医学》
CAS
北大核心
2007年第9期1604-1606,共3页
Modern Preventive Medicine
基金
安徽省农村合作医疗管理办公室
安徽省卫生Ⅷ项目领导小组办公室"安徽省新型农村合作医疗(农村卫生)应用性研究课题"资助项目(AH-2006-05)
