摘要
目的:了解湖北省县级公立医院改革试点地区新农合基金运行管理状况,为基金的安全运行及制度的健康发展提供参考。方法:现场调研与函调相结合,搜集试点地区新农合基金运行数据。结果:两批试点地区新农合基金的筹集、支出、补偿及使用水平均有一定提升;基金在农村三级医疗服务体系中的流向呈倒三角形,且相当一部分基金流向县外;不少地区面临基金透支风险。结论:筹资增长机制有待改善,医疗费用过快增长增加基金运行压力,强化定点及基层医疗机构卫生服务能力有助于降低基金外流风险。
Objective： To know the operation and management status of New Rural Cooperate Medical Scheme （NCMS） funds in pilot areas of county- level public hospital reform in Hubei, to provide references for sustainable development of NCMS. Methods： Data were collected through field surveys combined with letters. Results： Some improvements existed in financing, spending, and using capacities of NCMS funds in two batches of pilot areas; the funds flow in rural three - tier health care system was in the form of an inverted triangle, and quite a part of the funds flowed outside the countries ; overdraft risk still threatened many areas. Conclusion： The increasing mechanism of raising funds needs to be improved, rapid growth of medical costs increases the risks of NCMS funds, and strengthening health service capacity of designated and basic medical institutions will facilitate a decrease of NCMS funds risks.
出处
《医学与社会》
2016年第4期20-23,共4页
Medicine and Society
关键词
新农合
基金
管理
New Rural Cooperative Medical Scheme
Funds
Management
