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目的对新型农村合作医疗制度的实施进行客观评估,及时发现并解决问题。方法采用分层随机抽样方法,随机抽取山东省某地6个县市区不同户的1244位农民进行问卷调查。结果新型农村合作医疗参加率为99.35%。6.9%的人认为医疗费个人负担过重9,3.1%的人认为适中;88.9%的人在医院就地报销,11.1%的个人先垫付。90.6%的人认为新型农村合作医疗制度公平9,.4%的人认为新农合还要继续完善。分别有56.6%的病人在乡镇及村卫生室看病3,5.3%的在县级医院看病,8.1%的在市级以上医院看病。结论应继续完善新农村医疗保险体系,继续提高筹资比例,加强对定点医院的监管,进一步地降低起付线,提高报销上限。
Objective To evaluate objectively the implementation of the new rural cooperative medical system and find out and solve the problems in time. Methods A stratified random sampling method was used to randomly select 1244 peasants from different households in 6 counties and cities in Shandong Province for questionnaire survey. Results The new rural cooperative medical care participation rate was 99.35%. 6.9% thought that medical expenses were overburdened 9,3.1% considered modest; 88.9% reimbursed on-the-spot in the hospital and 11.1% advanced first. 90.6% of people think that the new rural cooperative medical system is fair. 9.4% of people think that the NCMS will continue to improve. 56.6% of the patients were seen in township and village clinics, 3,5.3% were in county hospitals, and 8.1% were in hospitals above municipal level respectively. Conclusion The new rural medical insurance system should continue to be improved, the proportion of funds raised should be continuously raised, the supervision over designated hospitals should be strengthened, the prepaid lines should be further reduced, and the upper limit of reimbursement should be raised.