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目的分析贵州省2013年新农合重大疾病住院费用情况及新农合保障水平。方法对重大疾病患者住院数据采用描述性分析和单因素方差分析。结果省市县三级机构对重大疾病实际补偿水平低于70%,重大疾病补偿政策明显减轻了患者经济负担,但患者负担仍较重。结论明确划分各级医疗机构对重大疾病的诊疗能力,探索适合不同重大疾病患者的转诊机制,提高县外就医补偿比例
Objective To analyze the hospitalization expenses of NRCMS major diseases and the level of NRCMS support in Guizhou Province in 2013. Methods Descriptive analysis and one-way analysis of variance (ANOVA) were used to analyze inpatients with major diseases. Results The actual level of compensation for major diseases was less than 70% for provincial and municipal third-tier institutions. The compensation policy for major diseases obviously reduced the financial burden on patients, but the patients’ burden was still heavy. Conclusion The medical institutions at all levels clearly defined the ability of diagnosis and treatment of major diseases, explored the referral mechanisms suitable for patients with different major diseases, and improved the proportion of medical compensation outside the county