女性尿毒症患者基本医疗保障水平评估性研究

Evaluation study on basic medical security level of female uremia patients

以福州市参保女性尿毒症患者为研究对象,分析其门诊、住院、血透、药品、医疗总费用等年度费用,结合国家、省、市三级政策,女性尿毒症患者年度医疗总费用和自付比重情况,评估女性尿毒症患者医疗保障水平。研究认为,女性尿毒症患者的疾病负担较重;相关制度的保障功能与限度并存,女性尿毒症患者医疗资源公平性受损。对此,需要在完善制度的具体实践中从政策理念、强化保障、性别融入等加以考虑解决。

This article takes the female uremic patients in Fuzhou City as the research object,to examine the medical needs of female uremia patients with the annual costs of outpatient,hospitalization,hemodialysis, drugs,medical care;combining national,provincial and municipal policies,considering the annual total medical expenses and out.of.pocket proportion of female uremia patients,to evaluate the medical security level of female uremia patients. It suggests that the medical needs of female uremia patients are great,and the disease burden is heavy;relevant systems can respond to their needs in a timely and effective manner,but there are limits,and the access and equity to medical resources for female uremia patients are impaired. Therefore,this study proposes that the system concept,policy support,gender integration and others should be considered in the strategic practice.