Objective To measure quantitatively of the universal health coverage (UHC)and its development trend based on new rural cooperative medical system (NCMS)in Fujian province from 2011 to 2015. Methods The relevant data of NCMS were collected from NCMS monitoring platform of Fujian province,the official website of Fujian provincial Health and Family Planning Commission,Yearbook of Health Statistics of Fujian province and Health Statistics Compilation of Fujian province from 2011 to 2015 including joining rate,hospitalization constituent ratio,actual hospitalization compensation rate, drug catalog and diagnosis catalog. The multiplicative model was adopted to evaluate the coverage of universal health care and to analyze the influencing factors of the UHC score through changing the values of each index. Results The joining rate of NCMS of Fujian province increased and was over 99. 00% annually from 2011 to 2015. The hospitalization constituent ratio showed a wavelike decrease while the actual hospitalization compensation rate presented a fluctuating upward trend in Fujian province from 2011 to 2015. No obvious changes were found in the security level of drug catalog and diagnosis catalog. The security level of drug catalog was between 52. 00% and 55. 00% and the security level of diagnosis catalog was between 76. 00% and 78. 00%. Both of them were in the slow development stage in Fujian province from 2011 to 2015. The multiplicative model showed that the UHC scores based on NCMS were between 1. 19 and 1. 57 in Fujian province from 2011 to 2015 presenting a slow annual development trend. The UHC score based on NCMS in Fujian province could be 2. 37 with a 50. 82% increase in 2015 if the joining rate was 100. 00%,the hospitalization constituent ratio was 85. 00%,the security level of drug catalog and diagnosis catalog and the actual hospitalization compensation rate were 80. 00% . Conclusion The UHC based on NCMS has reached a moderate level with a slow speed of development from 2011 to 2015. The linkage of multi-dimensional indexes obviously can improve the effect of the UHC in Fujian province.%目的 定量测量2011—2015年福建省新型农村合作医疗(以下简称新农合)制度全民健康覆盖程度,分析其发展趋势.方法 于福建省新农合监测数据信息平台、福建省卫生和计划生育委员会网站以及《福建省卫生统计年鉴》《福建省卫生统计汇编》摘取2011—2015年福建省新农合制度有关数据,包括县域内参合率、住院构成比、住院实际补偿比、药品目录和诊疗目录.采用乘法模型评价全民健康覆盖程度,并通过改变各指标的不同取值,分析影响全民健康覆盖得分的因素.结果 2011—2015年福建省农村居民新农合参合率逐年递增,且均达99.00%以上;县域内住院构成比呈波动下降趋势;住院实际补偿比呈波动上升趋势.2011—2015年福建省新农合药品目录和诊疗目录保障水平未发生明显变化,分别稳定在52.00%~55.00%和76.00%~78.00%,处于缓慢发展阶段.乘法模型显示,2011—2015年福建省新农合全民健康覆盖得分分布于1.19~1.57分,呈现逐年递增趋势,但增加幅度不明显,发展缓慢.若2015年福建省新农合参合率为100.00%,住院构成比提高至85.00%,药品目录和诊疗目录保障水平以及住院实际补偿比均提高至80.00%,则新农合全民健康覆盖得分可达2.37分,提高了50.82%.结论 2011—2015年福建省新农合全民健康覆盖已达到中等水平,但发展速度较为缓慢,多维度指标联动对提高全民健康覆盖效果更为明显.
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