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目的:该文旨在探索在新型农村合作医疗(以下称新农合)的实践中如何运用就医经济风险测量方法。方法:运用某地数据进行示例分析,计算就医经济风险评议关键指标RR值和校正RR值,以此量化风险及其变化。结果:通过该方法,可以在明确风险分布的基础上,明确新农合的工作重点;通过比较新农合补偿前后风险的变化,为新农合方案的合理调整提供依据;明确就医概率、费用及风险之间的动态关系,为筹资费率测算奠定基础。
Purpose: This article aims to explore how to use the medical economic risk measurement method in the practice of the new rural cooperative medical care (hereinafter referred to as the new rural cooperative medical care). Methods: Using the data of a certain place for example analysis, calculating the key indicators of medical economic risk assessment RR and adjusted RR values, in order to quantify the risk and its changes. Results: Through this method, the focus of the new rural cooperative medical system can be clearly defined on the basis of a clear risk distribution. By comparing the changes in risk before and after the compensation for the new rural cooperative medical system, the basis for the rational adjustment of the new rural cooperative medical plan can be provided; the probability and cost of medical treatment can be clearly defined. The dynamic relationship between risk and risk lays the foundation for the calculation of funding rates.