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目的:探讨实施基本药物制度前后参合居民就医流向的变化趋势。方法:采用分层随机抽样和现场调查方法,使用SPSS 13.0软件分析基本药物制度实施前后新型农村合作医疗门诊、住院补偿人次变化,新型农村合作医疗基金门诊、住院支出变化。结果:基本药物制度实施后,参合农民在乡镇卫生院的门诊人次和新型农村合作医疗报销费用迅速增长,且乡镇卫生院门诊人次和基金支出占总门诊人次和门诊基金支出的比例上升;到县级及以上医疗机构的住院人次和报销费用迅速增长,且占总住院人次和基金支出的比例上升。结论:基本药物制度实施后,参合农民门诊、住院补偿增速有所减缓。参合农民就医层次发生上移,门诊由村级向乡级医疗机构转移,住院由乡级向县级医疗机构转移。
OBJECTIVE: To explore the trend of the trend of medical treatment of resident residents before and after the implementation of the basic drug system. Methods: By using stratified random sampling and field survey, SPSS 13.0 software was used to analyze the changes of new-type rural cooperative medical clinics, inpatient compensation rates, new rural cooperative medical fund outpatient service and hospitalization expenses before and after the implementation of the basic drug system. Results: After the implementation of the basic drug system, the expenses for reimbursement of outpatients and new-type rural cooperative medical services participating in the township clinics increased rapidly, and the proportion of outpatient visits and fund expenditures of township hospitals in the total outpatient visits and outpatient fund expenses increased. Inpatients and reimbursements for medical institutions at the level and above have risen rapidly, and the proportion of total inpatient visits and fund expenditures has risen. Conclusion: After the implementation of the basic drug system, participation in peasant clinics has slowed down the growth of inpatient compensation. Participate in the medical treatment level of peasants shift up, outpatient transfer from the village to the township medical institutions, hospital transfer from the township to county-level medical institutions.