中文摘要：

目的：探讨实施基本药物制度前后参合居民就医流向的变化趋势。方法：采用分层随机抽样和现场调查方法,使用SPSS 13.0软件分析基本药物制度实施前后新型农村合作医疗门诊、住院补偿人次变化,新型农村合作医疗基金门诊、住院支出变化。结果：基本药物制度实施后,参合农民在乡镇卫生院的门诊人次和新型农村合作医疗报销费用迅速增长,且乡镇卫生院门诊人次和基金支出占总门诊人次和门诊基金支出的比例上升;到县级及以上医疗机构的住院人次和报销费用迅速增长,且占总住院人次和基金支出的比例上升。结论：基本药物制度实施后,参合农民门诊、住院补偿增速有所减缓。参合农民就医层次发生上移,门诊由村级向乡级医疗机构转移,住院由乡级向县级医疗机构转移。

英文摘要：

Objective：To discuss the change tendency of visiting direction among patients anticipated new rural cooperative medical system（NCMS） after the implementation of essential medicines system.Methods：Stratified random sampling and field investigation were applied with SPSS 13.0 Software to analyze the number of the visiting changes and expansion changes for inpatient and outpatients compensation before and after the implementation of essential medicine system.Results：After the implementation of essential medicines system, the visiting of outpatients and NCMS compensation expanse for rural residents who participated the NCMS increased quickly, while the proportion of township hospital outpatient visiting, funding expenditure for total outpatient visiting and outpatient funding expenditure increased; the inpatient visits and compensation costs in township and higher-level medical institutions increased quickly, which accounted higher proportion for total inpatient visits and funding expenditure.Conclusion：After the implementation of essential medical system, the increasing speed of outpatient and inpatient compensation for rural residents participated NCMS decreased relatively. The visiting level of rural residents who participated NCMS was promoted, the outpatient transferred from village-level medical institutions to township medical institutions, inpatient transferred from township medicalinstitutions to county-level medical institutions.