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目的:分析试点医院在新农合下实施按病种床日付费方式改革的效果及关键影响因素,为进一步完善改革方案提供参考和依据。方法:运用归纳法对定性资料进行分析,运用SPSS 19.0软件对改革前后的定量数据进行数理统计分析。结果:政策层面大力支持改革,但缺乏有效监管;改革方案在一定程度上起到引导试点医院降低平均住院天数和次均费用的作用;试点医院积极配合改革工作。结论:在政策层面要加强监管力度,改革方案仍需进一步完善;试点医院要不断加强自我管理。
OBJECTIVE: To analyze the effect and key influencing factors of pilot hospitals’ reform of payment according to sick beds on new rural cooperative medical system and provide reference and basis for further improvement of the reform plan. Methods: The inductive method was used to analyze the qualitative data, and SPSS 19.0 software was used to analyze the quantitative data before and after the reform. Results: The policy level strongly supported the reform but lacked effective supervision. The reform program played a role in guiding the pilot hospitals to reduce the average number of days of hospitalization and the average cost of hospitalization to a certain extent. The pilot hospitals actively cooperated with the reform. Conclusion: At the policy level, it is necessary to strengthen supervision and control and the reform plan still needs to be further improved. Pilot hospitals should continuously strengthen self-management.