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湖南省安乡县在2009年新农合工作中,选取两组共4个乡镇进行了完全性普通门诊统筹、过渡性门诊统筹模式两种不同补偿模式普通门诊统筹试点。文章通过对一年来两种模式的运行情况分析,得出了实施完全性普通门诊统筹,能引导参合农民合理就医、使小病在门诊治疗的结论。同时,实施这种门诊统筹模式,也能有效地控制住院率、减少患者医疗费用和住院基金的压力、增强参合农民互助共济意识、提高新农合门诊统筹基金的使用效率。
Anxiang County, Hunan Province in 2009, the new rural cooperative medical care, selected two groups of 4 towns and villages for a complete general out-patient co-ordination, transitional outpatient co-ordination model two different compensation mode for general out-patient pilot. Through the analysis of the operation of the two modes in the past year, the article concludes that the implementation of a complete general out-patient clinic can guide the farmers to seek reasonable medical treatment and make the minor illness out of clinic. At the same time, the implementation of this outpatient co-ordination model can also effectively control the hospitalization rate, reduce the medical expenses of patients and hospital funds, enhance the sense of participation of peasants in mutual aid and mutual aid and improve the efficiency of NCMS co-ordination fund.