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目的:评估遵义市样本地区新型农村合作医疗(以下简称新农合)解决因病致贫问题的能力,为完善该制度提供参考依据。方法:采用入户调查方法收集数据,通过贫困指标分析住院患者家庭因病致贫的普遍程度、严重程度以及新农合对因病致贫的缓解程度。结果:家庭贫困发生率为14.29%,贫困缺口率为-209.66%。经新农合报销后,前者下降到9.09%,后者缩小为-156.45%,资金使用率和供给率分别为27.35%和33.71%。结论:新农合的实施对解决因病致贫问题有较大贡献,应提高筹资水平,完善补偿方案,重视报销过程管理,增强资金瞄准能力,进一步提升这项制度解决因病致贫的能力。
OBJECTIVE: To evaluate the ability of the new rural cooperative medical care (hereinafter referred to as NCMS) to solve the problem of poverty caused by illness in the sample area of Zunyi City, so as to provide reference for perfecting the system. Methods: Data were collected by household survey, and the prevalence and severity of family poverty caused by illness were analyzed by means of poverty indicators and the degree of remission caused by NCMS. Results: The incidence of family poverty was 14.29% and the poverty gap was -209.66%. After the NCMS reimbursement, the former dropped to 9.09%, the latter narrowed to -156.45%, the fund utilization rate and supply rate were 27.35% and 33.71% respectively. Conclusion: The implementation of NRCMS has made a great contribution to solving the problem of poverty due to illness. We should raise the level of financing, improve the compensation plan, pay attention to the management of reimbursement process, enhance the ability of capital targeting, and further enhance the system to solve the problem of poverty caused by disease .