| Objective Through the analysis of related information of NRCM in-patients in one 3A Grade TCM Hospital in three consecutive years(1) To understand the development of NRCM system in Anhui province.(2) To understand the compensating number situation and the trend of development of NRCM system.(3) To understand the cost and its influencing factors.(4)To understand the allowed and actual compensation costs of NRCM in-patients.(5) To understand the NRCM in-patients’ medicine cost and its ratio in total cost in purpose to offer advice for managers to push this work and improve the condition for the peasants’ seeing doctors and all in all to foster the development of the hospital.Method Extract data from provincial-rate platform of new type rural cooperative medical information system of One 3A Grade TCM Hospital In Anhui Province and the development report of system in Anhui province. Select the number of in-patients and cost constitution during 2010-2012 from the provincial-rate platform referred above for descriptive and single factor analyzing with the method of classification by Excel software, building the data base, analysis of comprehensive documentation, experts’ consultation and live interview.Result(1)The rate of participating in the new type rural cooperative medical is keeping at 100%,more and more people is benefited and in 2011 and 2012, the benefited peasants was increased by 48.84% and 57.81%.(2) Compensation NRCM in-patienets increased by more than the total in-patients, in 2012, NRCM patients was occupied as 25% of whole discharged patients.(3) The NRCM in-patients’ per hospitalization cost increased with 7.72% in 2011 and 18.45% in 2012,whilemedical patients second all expenses rises continuously, in 2011 an increase of 7.72%, 18.45% in 2012, the average hospital stay longer, hospitalization cost increases is the direct cause, but the actualcompensation costs in synchronous growth, an increase of 5.19% in 2010, rising to 9.01% in 2012.And for in-patients, the average hospitalization duration is lengthened and per day hospitalization cost increased is main reason for lasting rising whole hospitalization cost. But the actual compensation cost also increased with 5.19% in 2010 and 9.01% in 2012, which are significant in statistics.(4)Still the drug cost were the main component ofNRCMS hospitalization expenses, the proportion of drug used out of list fixed by government was high, but decreased year by year. The national basic drug use proportion is still low, the proportion of three years were 11.18%, 16.72% and 13.69%.Conclusion(1) The potential medical service demand are aroused by peasants who attend NRCM system.(2) Rapid growth of number of compensated peasants under NRCM system, the work on NRCM has achieved good results.(3) The NRCM system in-patients per cost didn’t increase with the rising of prices and social development, and therefore the actual expense burden for NRCM in-patients is lessened.(4) The ratio for drugs used out of list was high, and definitely couldn’t arrive at aim as 25%. So the hospital enhance to manage the usage of medicine in advance.(5)Per hospitalization expence and medicine at patient’s own charge and the expense for basic medicine, all of those will influence the next year NRCM patients’ expense level for accounting and indirectly influence the patients;’s choice for seeing doctors. |
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