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目的:通过对云南省新农合运行情况进行分析,总结医改成效,探索进一步完善新农合制度的措施和方法。内容与方法:对2004年、2009年到2015年新农合统计信息报表用Excel进行统计分析,计算各年度基金到位情况、参合农民受益率、次均补偿费用、实际补偿比等指标,对新农合运行情况、农民受益情况进行对比分析,总结医改成效。结果:医改启动以来,新农合基金盘子不断加大、参合农民的保障水平提高幅度较医改前大、保障范围也进一步扩大,重大疾病提高补偿水平、县乡级免费住院分娩、省内异地就医即时结报、由新农合基金支出的大病补充保险覆盖所有参合农民,这些医改实实在在的成效减轻了参合农民的医疗负担、方便了参合农民、减少了大病患者因病致贫、因病返贫的发生。结论:从云南省新农合制度运行情况可以看出医改取得了实实在在的成效。
Objective: To analyze the operation of new rural cooperative medical workers in Yunnan Province, summarize the effectiveness of medical reform and explore ways and means to further improve the new rural cooperative medical system. Content and Methods: Statistical analysis of NRCMS statistic statements from 2004 to 2009 and 2015 was performed with Excel. Calculations were made on the status of funds in each year, including the farmers’ benefit rate, the average compensation rate and the actual compensation ratio, The situation of farmer cooperatives and the benefit of peasants were analyzed comparatively and the results of medical reform were summarized. Results: Since the start of medical reform, the new rural cooperative medical fund has been steadily expanding. The level of protection for farmers participating in the reform has risen sharply from that before the reform and the scope of protection has been further widened. The compensation for major diseases has been raised. Free hospital delivery at the county and township levels. Real-time reporting, by the new rural cooperative medical fund expenditures for disease coverage of supplementary insurance coverage of all participating farmers, the real effect of these medical reform to reduce the medical burden of participating farmers, to facilitate the participation of farmers, reducing the incidence of illness due to illness, Return to poverty. Conclusion: From the operation of the new rural cooperative medical system in Yunnan Province, we can see that the medical reform has achieved tangible results.