农村社区高血压患者免费给药政策的公益性评价

Evaluation of commonweal policy of free anti-hypertensive drugs for patients with hypertension in rural community

目的调查嘉定区外冈镇农村社区对高血压患者免费给药政策的执行现况,评价该政策的实施情况。方法应用问卷调查法调查免费给药的受益人群,采用焦点访谈法采访负责政策实施的医务人员。结果共发放问卷3 032份,回收有效问卷2 990份;乡村医生访谈9人次,社区卫生管理人员访谈25人次。分析发现政府专项投入占政策实施费用的77%,受益人群满意度为97%。结论高血压患者免费给药政策政府投入比例大,群众满意度高,符合基层卫生服务公益性的要求,但还需兼顾一线医务人员的福利水平,保证政策的可持续发展。

Objective To evaluate the policy of free anti-hypertensive drugs, which has been implemented in the Waigang Community of Jiading district. Methods Questionnaire survey was conducted among people benefited from the free drug policy and group interviews were performed with relevant health workers. Results A total of 3 032 questionnaires were issued and 2 990 valid questionnaires were returned. Nine local rural doctors and 25 administrative staff were interviewed. The analysis showed that 77% of policy implementation cost was from the government funding and 97% of people benefited from the policy were satisfied. Conclusion The policy implementation cost is mainly from the government funding. Most people are satisfied with the policy which meets the commonweal requirements of primary health service. But it is necessary to consider the benefit level of health workers of primary health clinics in order to ensure the sustainable development of the policy.