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New Rural Cooperative Medical Care Research on Out-patient Co-ordination in Taiyuan

Author: HaoMingYan
Tutor: ZhengJianZhong；WangHongQi
School: Shanxi Medical
Course: Social Medicine and Health Management
Keywords: The new rural cooperative medical care Patient co-ordination Program estimates Compensation ratio
CLC: R197.1
Type: Master's thesis
Year: 2010
Downloads: 168
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Abstract


Objective: Compensation NCMS outpatient clinics, family accounts to co-ordinate mode conversion trend, combined with the new rural cooperative medical system in Taiyuan account the actual level of funding family outpatient consumption levels and farmers to explore the current level of socio-economic development programs feasible outpatient co-ordinate sex; proposed outpatient co-ordinate the implementation of Taiyuan best solution system. Methods: Actuarial \If the measured compensation ratio of 20% -80% range, meaning that the implementation stage, patient co-ordinate program has practical feasibility. Data from Taiyuan 10 counties \\ area of ??7,931 randomly selected household health survey of farmers and rural medical and health institutions prescription two random survey of farmers in Taiyuan outpatient consumption level and consumption characteristics. Using statistical percentile method and system analysis method to determine the parameters of outpatient co-ordinate other related policies. Results: The prevalence of rural residents in two weeks the average rate of 4.75%, 6.03% prevalence of chronic diseases, lower than the national health services survey Fourth National Rural residents two weeks prevalence rate of 17.7%, prevalence of chronic diseases 17.1%; survey of rural residents two weeks the average attendance rate was 1.5%, lower than the national health services survey Fourth National Rural residents two weeks attendance rate of 15.2%. Patients did not visit was 46.99%. Village-level average price of 27 yuan a single prescription, prescription township average price of 31 yuan a single, annual per capita consumption of 28.13 yuan outpatient. For the development of a more conservative patient co-ordinate programs to farmers in rural areas nationwide attendance rate instead of the areas surveyed residents two weeks for outpatient attendance rate compensation ratio calculation. 75% quantile based, patient co-ordination stop payment line be $ 30 at 0 from the pay line and per capita 30 yuan outpatient co-ordinate fund constraints and other policy parameters, calculation of the compensation ratio fluctuated between 25-41% means that implementation of the new rural cooperative Taiyuan stage patient co-ordination program has some feasible. Consider county district outpatient consumption characteristics, calculation of different counties of the optimal compensation ratio, combined with the above-mentioned policy parameters developed in line with the actual situation in Taiyuan patient co-ordination program system. Conclusion: the more conservative estimates Taiyuan patient co-ordination strategy still has some feasible solutions, then you can explore other areas suitable for outpatient co-ordinate and implement a plan, at this stage the new rural cooperative patient co replace household accounts in rural areas, there are certain feasible.

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CLC: > Medicine, health > Preventive Medicine,Health > Health care organizations and career ( Health Management ) > Health care systems and institutions > Health care system
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