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目的:分析各地新型农村合作医疗对门诊特殊疾病的补偿政策,为国家制定相关政策提供依据。方法:通过抽样调查,选取全国349个县(市、区)2009年的统筹补偿方案进行定性分析和描述性统计分析。结果:总结归纳了样本地区门诊特殊疾病补偿政策在补偿范围和补偿办法方面的主要特点。结论:样本地区已经在门诊特殊疾病补偿方面开展了积极探索,但在补偿范围、补偿办法和配套制度建设方面仍存不足,建议省级以上卫生行政部门出台指导意见,提高门诊特殊疾病补偿水平,并探索开展供方支付方式改革。
OBJECTIVE: To analyze the compensation policies of new-type rural cooperative medical services for special diseases in outpatient areas and provide the basis for the formulation of relevant policies by the state. Methods: Through the sample survey, we selected the overall compensation plan of 349 counties (cities and districts) nationwide in 2009 for qualitative analysis and descriptive statistical analysis. Results: The main characteristics of compensation policy and compensation method of outpatient special disease in sample area are summarized. Conclusion: The sample area has been actively explored in outpatient special disease compensation, but there are still deficiencies in the scope of compensation, compensation methods and supporting system construction. It is suggested that the health administrative departments at or above the provincial level should issue guidance to improve the level of outpatient special disease compensation, And explore the reform of supplier payment methods.