浙江省新型农村合作医疗降低就医经济风险能力的评价研究

Objective: Evaluating the impact of the new cooperative medical system (NCMS) on economic risk for medical service (ERMS) in the experimental province. Methods: Using the evaluative index of ERMS, such as RR, adjusted RR, and calculating separately the change of ERMS after the compensation of the NCMS in three experimental counties. Result: After the compensation of RCMS, the ERMS of various groups of patients in the three counties was reduced:(1) In Xiuzhou, the more the expenditure was, the more the ERMS was reduced; In Kaihua, the ERMS was reduced mostly in the section between 3000 and 5000 yuan, also more than 10000 yuan; In Changshan, the ERMS was reduced mostly in the section of more than 10000 yuan. (2)In the three counties, they all especially focused on the inpatients, so the outpatients were less compensated. (3) The RR of the inpatients in Xiuzhou was reduced by 26.0％, the one in Kaihua was reduced by 24.9％, and the one in Changshan was reduced by 21.3％. (4) The RR of the poor in Xiuzhou was reduced by 34.6％,the one in Kaihua was reduced by 14.5％, and the one in Changshan was reduced by 8.8％.(5)The RR of the high risks in Xiuzhou was reduced by 20％, the one in Kaihua was reduced by16.6％, and the one in Changshan was reduced by 8.8％.These figures indicated the project in Xiuzhou lean to the inpatients, the poor and the high risks more than other counties.