中文摘要：

目的探讨2010—2012年北京市C区城镇职工医疗保险参保人口及基金运行情况。方法 2014年3—6月采用描述性统计方法对2010—2012年北京市C区城镇职工医疗保险的参保人口情况、基金运行情况进行描述和分析。结果北京市C区城镇职工医疗保险总参保人口2010年2 134 735人,2011年2 416 165人,比2010年增长13.62%;2012年2 642 591人,比2011年增长9.09%。参保人口金字塔示各年龄参保人口中男女比例均衡,参保人口主要集中在20~40岁。从基金收入情况看,2011年比2010年增长26.43%,2012年比2011年增长32.06%。从基金支出情况看,2011年比2010年增长33.90%,2012年比2011年增长33.22%。2011年、2012年基金弹性系数均大于1。从基金结余情况看,2010—2012年基金结余率逐年下降。2010—2012年北京市C城镇职工医疗保险参保人口的总就诊人次分别为：917万人次、1 233万人次和1 611万人次,2011年增长率为34.46%,2012年增长率为30.66%。2010—2012年医疗保险负担率分别为32.81%、68.09%和68.05%,费用报销率分别为3.82%、4.00%、4.11%。结论北京市C区城镇职工医疗保险参保人口呈现＂年龄型＂状态,受新医改的影响,参保人口的就诊次数明显上升,而就医负担则减轻。

英文摘要：

Objective To investigate the status of the population registered with medical insurance for urban workers and fund running status in District C in Beijing. Methods Using statistical method, made an analysis and description of the status of the population registered with medical insurance for urban workers and fund running status in District C in Beijing from March to June in 2014. Results In District C in Beijing,the number of people who were registered with medical insurance for urban workers was 2 134 735 in 2010 and was 2 416 165 in 2011 with an annual increase of 13. 62%,and that in 2012 was2 642 591 with an annual increase of 9. 09%. The pyramid of population with the medical insurance showed a balanced gender distribution and a major age range of 20- 40. In terms of funded income,2011 was 26. 43% higher than 2010,and 2012 was32. 06% higher than 2011. In terms of fund expenditure,2011 was 33. 90% higher than 2010,and 2012 was 33. 22% higher than 2012. The fund elastic coefficients of 2011 and 2012 were both higher than 1. In terms of fund balance,there were year- on- year decreases in fund surplus rate from 2010 to 2012. The person- time of hospital visits by people registered with medical insurance for urban workers in district C of Beijing was 9 170 000 in 2010,12 330 000 in 2011 and 16 110 000 in 2012,with an annual increase by 34. 46% in 2011 and 30. 66% in 2012. From 2010 to 2012,the reimbursement rates of medical insurance were 32. 81%,68. 09% and 68. 05% respectively,and the ratios of people who had reimbursement in all people with medicalinsurance were 3. 82%,4. 00% and 4. 11% respectively. Conclusion The population registered with medical insurance for urban workers in District C in Beijing showed an young trend. Influenced by the new healthcare reform,the number of hospital visits by people registered with medical insurance is increasing,while the medical burden has been released evidently.