| Objective:(1)To know the overall situation of hospitalization among peasants participating in the new rural cooperative medical insurance in research regions in Anhui Province from 2014 to 2016.(2)To know the operation of the new rural cooperative medical fund in research regions of Anhui Province from 2014 to 2016.(3)To know the distribution of the new rural cooperative medical institutions in research regions in Anhui Province from 2014 to 2016.(4)To know the distribution of hospitalization costs peasants participating in the new rural cooperative medical insurance in research regions in Anhui Province from 2014 to2016.To provide some data support for the implementation of the late medical policy,the development of relevant medical insurance policy.Methods:This study mainly used quantitative research method.There had been launched 40 pilots of health care alliance in Anhui Province.We choose M country in northern of Anhui Province,T city in central of Anhui province,J country in southern of Anhui Province in 40 pilots through expert consultation method,as the survey area.We collected the data from the new cooperative medical insurance management center of Anhui Province.The relevant data needed by the professional and technical personnel are extracted from the medical insurance management information system database center according to the index of the data collection outline.The data is divided into two parts,the first part is the specific medical records of medical institutions at all levels,including patient basic information,disease,ICD-10 coding,the level of medical institutions,the total cost and specific costs,etc..The second part is the information about the total number of new rural cooperative participation in each county 2015 and2016,the number of people hospitalized,the total cost and compensation cost data etc..After the data collected,the data were statistically analyzed by SPSS20.0 software.Results:(1)The participation rate of rural residents participating in the new rural cooperative medical care was higher,and the average participation rate of rural residents in 2014-2016 was 101.41%,100.92% and 106.63% respectively.(2)The total number of new rural cooperative fund in research regions in 2014-2016 was in the upward trend,and the balance of fund raising was also on the rise.(3)The average hospitalization rate of rural residents in research regions in 2014-2016 was 10.12%,9.32% and 9.99%,respectively.The hospitalization rate of new rural cooperative residents was low.(4)Distribution of hospitalized patients:in research regions in 2014-2016 the new rural cooperative medical staff inpatient access to a total of 544,176,of which male accounted for 47.2%,women accounted for 52.8%;age distribution,60-80 age group the largest number,accounting for the total 40.7% of hospitalized people,50.1% of the total number of inpatients over 60 years of age.(5)The flow of patients: the new rural cooperative patients in the county hospital population were more than 85% in research regions in 2014-2016.(6)The number of hospitalized persons in the top 10 in research regions were respiratory diseases,circulatory system diseases,digestive diseases,pregnancy,childbirth and puerperium,tumors,genitourinary system diseases,musculoskeletal and connective tissue diseases,urological diseases,infectious and parasitic diseases,ear disease and mastoid disease,endocrine,nutritional and metabolic disease.There were447,082 people with these 10 system diseases,accounting for 93.90% of the total hospital population.(7)The total cost and composition of hospitalized patient :the patients in research in the county medical institutions accounted for higher than the county and township level,and in an upward trend.(8)The average cost of the total cost,the average medical expenses,the average inspection fee,the average inspection fee and the average material fee of the new rural cooperative medical system in research regions in 2014-2016 were 1178 yuan,1188 yuan,391 yuan,333 yuan,325 yuan.(9)The composition of of the secondary cost in different characteristics: the average proportion of total drug costs,men than women,with the increase in age,an increase in medical institutions than secondary medical institutions;In the average proportion of the examination fee,the difference between male and female was not significant,with the increase of age,the level of medical institutions was higher than the secondary medical institutions;In the average proportion of medical expenses,women than men,with the increase in age,an increase in medical institutions than secondary medical institutions;In the average proportion of the cost of materials,women than men,with the age of decline and decreased,secondary medical institutions higher than a medical institutions.(10)In the average proportion of total drug costs,the payment method for the relatively low production,particularly slow disease was relatively high,single hospital costs more than 20,000 relatively low,in hospitalization disease in pregnancy a single cost was relatively low,the circulatory system The average proportion of the total cost of the disease was 41.69%.In the average proportion of the cost of treatment,the payment method for the general hospital was relatively low,the relative highest relative production,the word hospitalization costs more than 20,000 relatively low,in the hospital system disease in the circulatory system was relatively low,pregnancy was relatively high,58.59 %.(11)The new rural cooperative medical participation in the hospital in research regions a single average total cost of medicine,the average cost of treatment costs accounted for about 35% of the total.The inspection fees,laboratory fees and material costs accounted for about about 10%.Conclusion:(1)The new rural cooperative medical insurance in research regions was in good condition.(2)The medical service capacity of secondary medical institutions in research regions was improving..(3)The medical service capacity of medical workers in medical services in research regions had been raised. |
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