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目的研究福建省新型农村合作医疗(新农合)癌症患者的费用与补偿特征,为患“大病”者进一步改进补偿提供参考。方法用SPSS v21软件分析福建省2005—2014年新农合癌症住院患者数据库信息(15 654 497人次)。结果福建省10年间癌症患者“次均住院费”呈增长趋势,年增长率为7.1%(由7 974元增至14 736元);“次均补偿额”年增长率12.2%(由2 107元增至5 958元);男女“次均住院费”最高的前3种癌症均为鼻咽/喉癌(男19 220元、女19 022元)、肾/输尿管癌(男17 316元、女17 215元)和胰腺癌(男15 583元、女14 995元);肝/胆癌的“自付住院费用”最高(9 245元),“实际补偿比”最低(33.0%);30~64岁患者的“次均住院费”1.3~1.4万元;“次均住院费”福州市最高;10年平均“实际补偿比”为37.0%,以漳州市最高;10年平均“范围外费用占比”达26.8%。结论福建省2005—2014年癌症住院患者的平均“实际补偿比”仅37.0%,其经济负担依然沉重,需进一步开展“大病”补偿。
Objective To study the cost and compensation features of cancer patients in New Rural Cooperative Medical System (NRCMS) in Fujian Province, and to provide reference for further improvement of compensation for patients suffering from serious illness. Methods SPSS v21 software was used to analyze the database of inpatients with NRCMS in Fujian Province from 2005 to 2014 (15 654 497). Results In Fujian province, the “average hospitalization cost” of cancer patients ten years increased with an annual growth rate of 7.1% (from RMB 7 974 to RMB 14 736); “average compensation” annual growth rate of 12.2% (From RMB2,107 to RMB5,958). The top three cancers in men and women with the highest average hospitalization rate were nasopharyngeal / laryngeal cancer (19,202 males and 19,022 males), renal / ureteral cancer (Male 17,173 yuan, female 17,215 yuan) and pancreatic cancer (male 1,5583 yuan, female 14,995 yuan); liver / gallbladder cancer “self-paid hospitalization costs ” highest (9,245 yuan), “actual compensation ”Average hospitalization fee “ the highest in Fuzhou; average 10-year ”actual compensation ratio “37.0%, the highest in Zhangzhou; 10-year average ” out-of-range costs accounted for “up to 26.8%. Conclusion The average ”actual compensation ratio“ of cancer inpatients from 2005 to 2014 in Fujian Province is only 37.0%, and its economic burden is still heavy. It is necessary to further compensate for the ”serious illness".