四川农村贫困医疗救助试点项目终期调查分析

An End-point Descriptive Study of Medical Financial Assistance Experiment in Poor Rural Area of Sichuan

目的:分析评价四川秦巴卫生项目实施医疗救助制度8年的终期结果。方法:采用分层多级抽样方法对试点县及其样本乡镇和样本村进行调查,分析救助对象的贫困发生率、医疗救助覆盖率、人口受益率和救助资金筹集与使用情况。结果:8个项目县有91个乡镇进行了医疗救助试点,8年累计筹集资金2300多万元,相当于年人均筹资4元;试点乡镇逐年的救助人口覆盖率达到16.79%,累计人口受益率为28.39%,累计资金使用率30.65%;样本乡镇的救助覆盖率、人口受益率和资金使用率与试点乡镇接近。结论:四川秦巴卫生项目实施医疗救助制度具有开创性意义,为建立农村可持续发展的医疗救助制度提供了经验和启示。

Objective： To investigate the end-point effects of medical financial assistance （MFA） experiment supported by QinBa Health Project in Sichuan Province. Methods： A retrospective descriptive survey and the spot investigation under randomized proportionate stratified sampling was achieved in area of the experiment during January to June in 2006. The annual proportion of MFA covered, the cumulated proportion of the poorest beneficiated, the cumulated proportion of MFA fund used were listed in both experiment and sampled towns. Results： There collected total 23 millions of MFA funds during 8 experiment years in 8 counties which equaled to RMB 4 Yuan per resident per year. The three-proportion of MFA covered, the poorest beneficiated and MFA fund used were 16.79%, 28.39% and 30.65% respectively in all 91 experiment towns with the same results as in 25 sampled towns. Conclusions： The 8-year QinBa experiment begins the era of systematic medical financial assistance for poor peoples and leaves lots of experiences and suggestions on the practicing of MFA for future China.