农村医疗保障扶贫成效影响因素与提升策略研究——基于安徽省J村的调查

Research on influencing factors and promotion strategies of rural medical security on poverty alleviation——based on a survey of J village in Anhui Province

健康扶贫是我国当前农村扶贫工作的重点,是全面建成小康社会、实现“健康中国”的重要保障。从健康扶贫与现有农村医疗保障出发,我国当前农村医疗保障是由基本医疗保险制度、临时救助制度及专项医疗救助制度三个主要方面构成。基于绩效评价的“4E”框架,构建了公平、效率和质量三个维度的评价指标体系,以安徽省J村贫困人口为研究对象,对农村医疗保障扶贫成效进行评价分析。调查发现,当前农村医疗保障扶贫成效整体偏低,且公平、效率和质量三个方面显著影响农村医疗保障扶贫成效,进而以福利三角范式为基础,提出进一步发挥国家的主导作用、突出市场的重要作用及强化社区的基础作用等提升医疗保障扶贫成效的策略。

Health poverty alleviation is the focus of rural poverty alleviation work,and an important guarantee for building a well-off society in all-round way and realizing a"healthy China".In terms of health poverty alleviation and existing rural medical security,China's current rural medical security consists of t basic medical insurance system,temporary assistance system and special medical assistance system.Based on the"4E"framework of performance evaluation,an evaluation index system with three dimensions of fairness,efficiency and quality is constructed.Taking the poor in J village of Anhui province as the research subject,this paper evaluates and analyzes the effect of rural medical security on poverty alleviation.It finds that the overall effect of rural medical security on poverty alleviation is low.Fairness,efficiency and quality have a significant impact on the effect of rural medical security on poverty alleviation.Then,based on the welfare triangle paradigm,it puts forward some strategies,such as giving full play to the leading role of the state,highlighting the important role of the market and strengthening the basic role of the community.