贫困地区农民医疗卫生保障的重点支持——基于十堰市农村的调查

Emphasized Support on Medical Treatment Security for Farmers in Poverty Rural Areas—Based on Investigation in Villages of Shiyan City

目的:了解十堰市贫困农村农民医疗卫生需求现状,探讨适合贫困地区农民需要的医疗服务供给体系和模式。方法:自制调查问卷,并对十堰市4个县(市、区)中17个行政村的101名村民进行了问卷调查和重点访谈,对调查结果进行了分析研究。结果:两年内农民罹患慢性非传染性疾病、传染性疾病和骨伤类疾病比例高达66%;73%的人在生病后未进行正规的治疗。农民对试运行中的新型农村合作医疗制度的认同度高达78%。结论:地区经济的落后,严重制约了农民基本医疗卫生服务的获得。试运行中的新型农村合作医疗可以减轻贫困地区农民的就医负担,但在医疗服务供给的体系、模式等方面需要加强和完善。

To obtain the current situation of the farmenrs＇ demand on medical service in poverty rural areas of Shiyan City and explore the medical service supply system and pattern to meet these demand. Method ：Questionnaires were made to investigate 101 farmers of 17 villages in four counties of Shiyan City and the collected data were analyzed and compared, Result：In two years the proportion of farmers who suffered from the chronic non- communicable disease, the communicable disease and the bone wound class disease reached as high as 66 % ; and 73 % of them were not properly treated, As high as 78 % of them agreed on the new Cooperation Medical System. Conclusion：Local economy backwardness, has seriously restricted the basic medical service for farmers. The new Cooperation Medical System can relieve farmers＇ pressure of medical spending, However, the supply pattern of medical service system need to be improved and strengthened.