健康扶贫政策下湖北省仙桃市医疗救助资金需求分析

Analysis of Medical Assistance Fund Demand in Xiantao Under Health Poverty Alleviation Policy City, Hubei Province

目的:分析建档立卡人群住院服务需求特点,测算健康扶贫政策下医疗救助资金需求。方法:对湖北省仙桃市建档立卡人群住院服务需求进行描述性分析,运用逻辑演绎、保险精算模型等测算医疗救助筹资需求。结果:建档立卡人群住院服务需求明显高于全人群,且在健康扶贫政策实施后进一步提高;健康扶贫政策给医疗救助资金带来较大压力,人均救助金额相比于普通救助对象需增加23.2元。结论:政府相关部门应综合考虑建档立卡人群与普通救助对象重合率低、卫生服务需求较高及救助水平提高后带来的需求释放,合理测算医疗救助资金需求,加大救助资金投入,建立政府主导、社会参与的多元筹资机制。

Objective:To analyze the characteristics of hospitalization service needs of the poor with archiving card,and measure the demand of medical assistance funds under the targeted-poverty-reduction policy.Methods:Descriptive analysis was carried out on the demand of hospitalization service for the poor with archiving card.Medical assistance financing demand was measured by using logical deduction and actuarial insurance model.Results:The demand for hospitalization services of the people who set up archives is obviously higher than that of the whole population,and it has been further improved after the implementation of the health poverty alleviation policy.The health poverty alleviation policy has put great pressure on the medical aid funds,and the per capita assistance amount needs to increase by 23.2 yuan compared with the ordinary relief objects.Conclusion:The relevant government departments should consider the characteristics of inpatient service demand on the poor with archiving card and reasonably calculate the financial demand of medical assistance,increase the investment of relief funds and establish a multi-financing mechanism led by the government and participated by the society.