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目的:分析住院次均费用控制模式控制医疗费用的效果,找出存在的问题,为贵溪市的新型农村合作医疗发展提供政策建议。方法:比较贵溪市住院次均费用控制模式实施前后两年全省及贵溪市社会经济状况及新型农村合作医疗运行情况相关指标;分析贵溪市5年来参合农民住院次均费用和住院流向等指标的变化情况。结果:贵溪市实施住院次均费用控制模式后,各级医疗机构的住院次均费用水平得到有效的控制,但仍需进一步加强。结论:住院次均费用控制模式强化了医疗机构在费用控制中的作用及其所承担的风险,增强了各级医疗机构费用控制的主动性,对于住院费用控制有一定的作用,但仍不成熟,还需不断地完善。
Objective: To analyze the effect of the cost control mode of hospitalization on the control of medical expenses, find out the existing problems, and provide policy recommendations for the development of new rural cooperative medical care in Guixi. METHODS: We compared the socio-economic status of the province and Guixi in the two years before and after the implementation of the control model for the average cost of hospitalization in Guixi City, and related indicators for the operation of the new rural cooperative medical system; and analyzed the average cost and direction of hospitalization for farmers in Guixi City in the past five years. Changes in other indicators. Results: After Guixi’s implementation of the average cost control model for inpatients, the level of inpatient cost per hospital at various levels was effectively controlled, but it still needed to be further strengthened. Conclusion: The per capita cost control model for inpatients strengthens the role of medical institutions in cost control and the risks they undertake. It also enhances the initiative for cost control at all levels of medical institutions. It has a certain effect on hospital cost control, but it is still not mature. , we need to constantly improve.