中文摘要：

目的：通过分析陕西省某县近3年农民门诊获益情况，了解农民参合的影响因素。对进一步完善城乡医疗保障制度提供依据。方法：以2009--2011年县医院、乡镇卫生院及村卫生室的门诊人次、门诊费用、报销费用、报销比例等为研究指标，利用SAS9．1统计分析软件对数据进行整理、分析，并进行相应的统计描述。结果：（1）根据实际情况制订的门诊补偿方案。使得门诊次均费用逐年下降，且基本维持在25元左右。（2）门诊补偿基金主要流向乡镇卫生院和村卫生室，流向村卫生室的比例逐年增加，并且门诊患者由乡镇卫生院合理地流向村卫生室，降低了农民的经济负担；（3）门诊受益率在2010年达到最高为93．72％，门诊补偿率和筹资标准逐年增加，参合率稳定在99％以上。结论：参合农民门诊受益程度不断提高．但筹资标准及门诊补偿率有待进一步提高，以缩小城乡差距，使农民获益更多。

英文摘要：

Objective： To analyze the benefit from health servic, es utilization of peasants in a county of Shaanxi Province in the past three years, and provide suggestions for further improvement of the urban and rural areas security system. Methods： By SAS 9.1 statistics software analyzing outpatient visits, outpatient costs, reimbursement, reimbursement of proportion form 2009 to 2011, then making appropriate statistical description. Results： （ 1 ） The average of outpatient costs decreased year by year, it basically maintains at around 25 yuan. （2） Outpatient compensation fund mainly flows to the township hospitals and village clinics, and the proportion of entering the village clinics increases year by year. As a result, patients inrushing into the village clinics reasonably. （3） Outpatient benefit rate in 2010 reached up to 93.72%, and coverage rate has reached above 99%. Conclusion： Outpatient benefit of participants has been improved, but funding level and rate of compensation to be further improved, for shortening the gap between urban and rural to make peasants obtain more benefits from it.