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采用对比分析的方法,引用启东农村合作医疗改革前后的调查数据,分析启东市农村住院医疗服务利用的变化,为合作医疗制度的改革完善提供科学依据,并为决策部门制定有关政策提供信息。年内住院率基线调查为69.2‰,终末调查为63.1‰,差异无显著性。改革前后住院的医疗单位构成,差异无显著性。未住院率由基线调查的18.1%降为终末调查的6.4%,差异有显著性。基线调查中由于经济困难未住院占未住院总数的61.9%,终末调查中6例未住院中无1例为经济困难原因。三乡镇全人口1995、1996两年住院补偿额度在1000元以上的计61人次,其中2000元以上21人次。通过合作医疗改革,能够在一定程度提高农民就医的经济可行性。
A comparative analysis method was used to quote survey data before and after Qidong Rural Cooperative Medical Care Reform to analyze the changes in the use of inpatient medical services in Qidong City, provide scientific basis for the reform and improvement of the cooperative medical system, and provide information for decision-making departments to formulate relevant policies. Baseline hospitalization rate for the year was 69.2%, and the final survey was 63.1%. There was no significant difference. There was no significant difference in the composition of hospitalized hospitals before and after the reform. The non-hospitalization rate was reduced from 18.1% in the baseline survey to 6.4% in the final survey, and the difference was significant. In the baseline survey, no hospitalization accounted for 61.9% of the total number of unhospitalized patients due to financial difficulties. In the final survey, none of the 6 cases without hospitalization were due to financial difficulties. The total population of the three towns and villages in 1995 and 1996 was 61 yuan, including over 2,000 yuan and 21 yuan. Through cooperative medical reforms, the economic feasibility of farmers’ access to medical services can be improved to a certain extent.