Study on Indicators of Management Effect within NCMS_Chinese Journal of Evidence-Based Medicine

Authors：

 ZHOUXiao-yuan ^1,2 ,  MAOZheng-zhong ¹

1. West China Public Healthy School, Sichuan University, Chengdu 610041, China;
2. Western China Centre for Rural Health Development and Research, Sichuan University, Chengdu 610041, China;

Corresponding author：

MAOZheng-zhong, Email: zzmao666@yahoo.com

Keywords：

New Rural Cooperative Medical System(NCMS); Management model; Management effect; Evaluation indicator

DOI：

10.7507/1672-2531.20140018

Video：

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Objective New Rural Cooperative Medical Systems (NCMS) has been constructed as a financial protection for rural population commencing 2003. With the development of NCMS, there were quite a few management models existing across the nation. In order to assess the management alternatives, we try to explore how to set up a set of indicators to analysis management effect of different management models. Methods By literature review, we sorted all qualitative indicators into 8 types. Delphi and Multi-Attribute utility theories were applied to construct the appraisal indicators, including shaping first and second level indicators and assigning the weights for each type of indicators. Results We managed to identify the indicator system which was comprised of 4 types of first level indicators, aiming at claim, manament process, transparency and supervision on accredited hospitals. Besides, there were 9 sub-indicators. Conclusion The evaluation indicators are constructed for future assessment on management effect of rural health insurance.

Citation： ZHOUXiao-yuan, MAOZheng-zhong. Study on Indicators of Management Effect within NCMS. Chinese Journal of Evidence-Based Medicine, 2014, 14(1): 110-114. doi: 10.7507/1672-2531.20140018 Copy

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1. 《关于建立新型农村合作医疗制度的意见》(国办发2003(3)号).国务院办公厅, 2013.
2. 黄玉珊, 曾林淼, 李幼平, 等.我国农村卫生改革政策系统回顾及绩效评价研究.中国循证医学杂志, 2012, 12(3):293-304.
3. 《关于保险业参与新型农村合作医疗情况的报告》(保监发[2004]150号). 2004.
4. 田如蕾.建立新型农村合作医疗制度的几点思考.卫生经济研究, 2004, (2):45.
5. 张艳花.保险业参与新型农村合作医疗试点的政策走向.中国金融, 2005, (23):56-57.
6. 张雪峰.保险在服务社会主义新农村建设中大有可为.河北金融, 2006, (10):19-21.
7. 张楠, 张研.保险业在新型农村合作医疗领域中的实践.保险研究, 2006, (11):47-49.
8. 粟榆.商业保险参与新型农村合作医疗可持续发展研究.南方金融, 2008, (2):51-52.
9. 何娇.从商保参与新农合看商保与社保的融合发展.大众商务:下半月, 2009, (4):109.
10. 庞少玲.新型农村合作医疗制度-商业保险与社会保险融合的契机.知识经济, 2010, (11):46.
11. 郭永瑾.公私合作模式在我国公立医院投资建设领域中应用的探讨.中华医院管理杂志, 2005, 21(10):665-668.
12. 杜颖.我国医疗卫生领域应导入公私合作模式.经营与管理, 2008, (12):10-11.
13. 张余, 鞠美庭, 孟伟庆.公私合作模式在我国城市医疗服务业中应用的探讨.中国卫生经济, 2007, 26(05):7-9.
14. 汪早立, 王蓉, 陈迎春, 等.保险公司不应介入新型农村合作医疗的运作.卫生经济研究, 2005(6):22-23.
15. 刘华.浙江农村医保的商业新模式.医院领导决策参考, 2006, (11):4.
16. 赵亮, 高广颖, 魏炜, 等.新型合作医疗引入商业保险模式效果评价研究.中国医院管理, 2007, 27(1):60-63.
17. 周爱萍, 徐伟才, 娄淮建, 等.军队医院新农合病人医疗指标调查分析.东南国防医药, 2011, 13(6):526-528.
18. 凡晓俊, 鲍群.新型农村合作医疗绩效评价指标体系研究.财政监督, 2012, (28):59-61.
19. 张鲁豫, 李媛, 谭琳琳, 等.应用德尔菲法建立新农合定点医疗机构评价指标体系.中国卫生事业管理, 2012, (7):514-516.
20. 田甜, 力晓蓉, 应桂英. Delphi法筛选四川省实用新农合统计指标的应用.卫生软科学, 2012, 26(10):844-847.
21. 郭平, 洪源, 潘郭钦.多层次、立体的财政支出绩效评价指标体系构建研究-以中部地区某市新农合医疗基金项目绩效评价为例.湖湘论坛, 2011, 24(1):91-96.
22. Drummond MF, Sculpher MJ, Torrance GW, et al. Methods for the Economic Evaluation of Health Care Programmes. Oxford University Press, 2005.
23. Palmer N. The use of private-sector contracts for primary health care:theory, evidence and lessons for low-income and middle-income countries. B World Health Organ, 2000, 78(6):821-829.

Chinese Journal of Evidence-Based Medicine

Study on Indicators of Management Effect within NCMS

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