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目的:探讨江西省不同经济状况乡镇的大病统筹基金需方使用的公平性。方法:采用分层随机抽样抽取了5个样本县,并对其乡镇2009年新型农村合作医疗大病统筹基金补偿情况进行了普查,用集中指数反映公平性。结果:不同经济状况的乡镇新型农村合作医疗大病统筹住院总费用和实际报销费用的集中指数分别为0.037 8和0.040 7,经济状况最好组的参合率与实际补偿比最低,而次均住院费用和次均补偿费用最高。结论:不同经济状况的乡镇农民在新型农村合作医疗大病统筹基金使用上较为公平,新型农村合作医疗实施方案的科学制定在大病统筹基金使用的公平性方面发挥了重要作用。
Objective: To explore the fairness of demand-side use of ill-fated funds in villages and towns with different economic conditions in Jiangxi Province. Methods: We sampled 5 sample counties by stratified random sampling and conducted a survey on the compensation of major diseases in the new rural cooperative medical system in townships and towns in 2009, using the concentration index to reflect the fairness. Results: The concentration indices of overall hospitalization expenses and actual reimbursement expenses of township new rural cooperative medical system with different economic status were 0.037 8 and 0.040 7, respectively. The best economic status group had the lowest participation rate and actual compensation rate while the average hospitalization expense And the average compensation costs the highest. Conclusion: The township peasants with different economic conditions are more fair to use the funds of the serious illness co-ordination fund in the new-type rural cooperative medical system. The scientific formulation of the new rural cooperative medical plan has played an important role in the fairness of the use of the co-ordinated fund.