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[目的]了解新农合试点县门诊服务的利用情况,为新农合政策的制定提供科学依据。[方法]采用整群抽样的方法从试点县中选取部分长期居住农民,并采用横断面调查问卷表进行入户调查,获得调查数据。[结果]被调查农户的平均两周就诊率为7.5%,平均两周患病未就诊率为23.8%,被调查农民患病未就诊的首要原因为经济困难。[结论]新型农村合作医疗的实施提高了农民对门诊服务的利用水平。以大病统筹为主的新型农村合作医疗主要补助大额医疗费用或住院费用,对门诊费用的补偿相对较低,与新农合配套的医疗救助制度应重点针对因经济困难而未就诊的人群。进一步完善新型农村合作医疗制度,提高广大农民健康水平。
[Objective] To understand the utilization of outpatient services in NCMS pilot counties and provide a scientific basis for the formulation of NCMS. [Method] The method of cluster sampling was used to select some long-term resident peasants from the experimental counties. Household survey was conducted by cross-sectional questionnaire to obtain the survey data. [Results] The average two-week visiting rate of surveyed households was 7.5%, with an average of 23.8% of the two-week sick and non-visiting rates. The primary reason that the surveyed farmers were not treated was due to financial difficulties. [Conclusion] The implementation of new-type rural cooperative medical care improved farmers’ use of outpatient services. The new-type rural cooperative medical scheme that mainly focuses on serious illness co-benefits mainly subsidizes large-sum medical expenses or hospitalization expenses, and relatively low compensation for out-patient expenses. The medical aid system matching with NCMS should focus on those who have not been treated due to financial difficulties. Further improve the new rural cooperative medical system and improve the health of farmers.