四川省贫困地区医疗救助现况研究

CROSS-SECTIONAL STUDY ON THE MEDICAL FINANCIAL ASSISTANCE IN THE POVERTY-STRICKEN AREAS IN SICHUAN

[目的]了解四川省贫困地区贫困医疗救助的实施情况及其效果,及时发现医疗救助中存在的问题,指出不足,总结经验。[方法]采用分层抽样和单纯随机抽样相结合的方法,抽取贫困人口并进行问卷调查。[结果]贫困人口对医疗救助的知晓情况较差,知晓率仅为69.81%;纳入和实际利用医疗救助的贫困人口都较少,分别占48.11%和28.40%;贫困医疗救助在解决贫困人口就医经济困难方面起到了一定作用,但效果不明显。[结论]四川省贫困地区贫困医疗救助工作取得了一定的成效,但仍存在较多的问题,有必要进一步加强和落实贫困医疗救助工作。

[Objective] To investigate status of enforcement and effect of medical financial assistance in the poverty-stricken areas in Sichuan, and to promptly find the problems about the medical financial assistance to indicate the inadequacy and summarize experience. [Methods] By combination of stratified sampling and simple random sampling residents in poverty-striken areas were collected by stratified sampling combined with simple random sampling methods, the residents in poverty-stricken areas were collected to investigate with questionnaires. [ Results] The awareness status of medical financial assistance among people in poverty-stricken areas showed to be poor with the awareness rate of 69.81% ; A few of poverty residents were included into the medical assistant participants, and actually utilized the medical assistant, which accounted for 48.11% and 28.40, respectively. Medical financial assistance alleviated economic burden of seeking for doctors for the poverty residents to some extent, while the effect was not obvious. [Conclusion]Though the Project has gained some achievement in the poverty- stricken areas in Sichuar,, a large number of problems need to be solved. It is necessary to further intensify and implement the medical financial assistance work in poverty-strieken areas.