中文摘要：

为了解新疆某贫困县新型农村合作医疗（以下简称新农合）高额住院病例费用特征,为完善新农合医疗政策的制定提供依据。选择新疆南部某贫困县2009-2012年单次住院费用超过2万元的新农合病例1264例,对其费用特征进行分析。结果显示,2009-2012年新农合高额住院病例例均住院自付费用是该县农民年人均纯收入的3.67倍;肿瘤、循环系统疾病和外伤与中毒列疾病谱前三位;住院费用中药品、材料费占比居前位,分别为33.17%和12.68%。由此可知,新农合高额住院病例疾病负担较重,应完善医疗救助及大病医疗保险制度,改革支付方式,合理使用高值医用材料,进一步缓解参合农民就医负担。

英文摘要：

To investigate the characteristics of inpatients of higher expenditure in new rural cooperative medical system（NCMS）in a poor county in Xinjiang to provide evidence for improving the design NCMS policy. Selecting 1264 inpatients whose total inward expenditure is over 20,000 yuan in a poor county in Xinjiang from 2009 to 2012 and analyzing its characteristics. The results showed that the average out-of-pocket of per higher expenditure hospitalization in NCMS is 3.67 times higher than the annual per capital net income in county from 2009 to 2012; Tumor, circulatory system disease and trauma and poisoning are in top three of disease spectrum; The ratios of drugs and medical consumables rank top in total expenditure, respectively 33.17%and 12.68%. In patients of higher expenditure have more serious economic NCMS. It is suggested that economic burden of hospitalization for farmers can be reduced by improving the medicaid and pool for major diseases in NCMS, reforming payment method and rationalizing the use of high cost medical consumables.