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目的:了解宁夏新型农村合作医疗住院补偿流向。方法:采用系统随机抽样的方法,随机抽取宁夏的平罗县和隆德县2005年1月至2006年12月新型农村合作医疗住院补偿病人费用资料,利用国际系统疾病分类(ICD-10)对疾病分类,从补偿人数、补偿费用及病种3个角度分析住院补偿流向。结果:两县新型农村合作医疗住院补偿均以县级医院为主,但隆德县外医院住补偿费用、补偿人次数占比例较高,以较重、较复杂的慢性病为主;平罗县以0~岁、20~岁年龄组为主,隆德县以20~岁、40~岁龄组为主;顺产、剖宫产、阑尾炎、疝气、胆囊炎、胆结石、骨折病种较为常见。结论:山区基层医疗机构不能满足参合农民就医需求,农民疾病防范意识不高。应加强基层医疗机构建设,充分利用新型农村合作医疗家庭账户资金促进健康教育,增强健康意识;对较常见、治疗效果容易保证、质量容易控制的病种实施单病种付费。
Objective: To understand the flow of compensation for inpatient new-type rural cooperative medical system in Ningxia. Methods: A systematic random sampling method was used to randomly select inpatients’ compensation data of new-type rural cooperative medical care from January 2005 to December 2006 in Pingluo County and Lund County in Ningxia. The data of ICD-10 Disease classification, from the number of compensation, compensation costs and diseases from three perspectives analysis of hospital compensation flow. Results: The hospital-based compensation for new-type rural cooperative medical services in both counties was mainly county-level hospitals, but the proportion of compensation and compensation people outside Longde County hospitals was higher, with heavier and more complicated chronic diseases as the major ones. Pingluo County In 0 ~ 20 years old group, Lund County is mainly in 20 ~ 40 years old group; cesarean section, appendicitis, hernia, cholecystitis, gallstone and fracture are more common . Conclusion: The grass-roots medical institutions in mountain areas can not meet the needs of participating peasants for medical treatment and the awareness of peasants for disease prevention is not high. We should strengthen the construction of grass-roots medical institutions, make full use of new rural cooperative medical family account funds to promote health education and enhance health awareness; the more common, the treatment effect is easy to ensure that the quality of the disease is easy to control the implementation of a single disease payment.