摘要
为修正新农合方案,使其更加科学合理、最大程度实现制度目标,首先形成了方案修正的标准,包括是否消除因病致贫、是否收支平衡以及是否最大程度共担就医经济风险3方面。据此标准,依次对补偿方案进行"收支平衡状况分析及调整"、"因病致贫状况差距分析及调整"和"就医经济风险分布分析及调整"。最终形成修正标准、可操作思路和具体操作步骤,从理论上和实践上解决新农合方案修正的盲目性,使方案的修正紧密围绕新农合的制度目标展开。
To amend the New Rural Cooperative Medical System （NRCMS）plans, to make it more evidence- based and to achieve policy goals to the maximum extent, this study forms the standard for plan amendments, including issues such as whether the plan eliminates medical impoverishment, whether the revenue and outlay are balanced and whether the financial risk from medical expenses has been fully pooled. Based on the standards, analysis and rectifications are done to specific plans in sequence according to their status of financial break-even, medical impoverishment gap and the distribution of the financial risk from medical expense, and finally a series of thoughts and procedures are formed to amend the plans, which makes the amendment closely focus on the goals of the NRCMS and aimless amendment from the theory and practice is avoided.
出处
《中国卫生资源》
2013年第4期230-231,共2页
Chinese Health Resources
基金
教育部重大攻关项目(07JZD0017)
国家自然科学基金项目(70733002
71003025)
教育部创新团队项目(IRT0912)
复旦大学"985工程"三期整体推进社会科学研究项目(2011SHKXZD020)
关键词
新型农村合作医疗制度
补偿方案
修正
new rural cooperative medical system
reimbursement plans
amend
