摘要
基于对5省47家乡镇卫生院的追踪调查,文章首先描述了样本地区乡镇卫生院的现状及新型农村合作医疗体系对乡镇卫生院的定位,并初步评价了新型农村合作医疗制度的实施对乡镇卫生院收入的影响。结果表明,尽管不同经济发展水平地区的乡镇卫生院在资产与人员、药品和服务价格及医疗人次三个方面依旧存在显著的差异,但最近几年贫困地区的乡镇卫生院的资产和医疗服务人次的增长幅度要高于其他地区。调查还发现,当前乡镇卫生院既是新型农村合作医疗体系的医疗服务提供者,又扮演着管理者和监督者的角色;得益于新型农村合作医疗体系的倾斜性政策,新型农村合作医疗实施后乡镇卫生院的收入大幅度增加,收支状况也明显改善。基于以上研究结论,文章提出了需要进一步关注的问题。
Using a panel data of 47 township health centers in 5 provinces, this paper describes the status quo of township health center and its role in New Cooperative Medical System （NCMS）, and evaluates the impact of NCMS on the revenue of township health center. The results show that the township health center in poor areas experienced higher growth in asset and patient （both inpatient and outpatient） visits than those in other areas, although there are big regional gaps in asset, staff, price of medicine and service, patient visits. The data also shows that the township health center not only plays an important role of medical care provider in NCMS, but also takes the responsibility of supervisory and administrative roles at the same time. The revenue of township health center has increased significantly due to partially favored policy support of NCMS. This paper points out the policy implications of this study in the last section.
出处
《中国卫生经济》
北大核心
2009年第6期56-58,共3页
Chinese Health Economics
基金
中国科学院“百人计划”项目,中国科学院生物局重大创新项目(KSCX2-YW-N-039)
英国IDS亚洲社会保障项目的资助
关键词
乡镇卫生院
新型农村合作医疗
定位
收入
township health center
new cooperative medical system
function
revenue
