农村孕产妇住院分娩保障效果评价

Evaluation on the Effect of Maternity Delivery Security in Rural Maternity

目的分析调研地区农村孕产妇住院分娩保障采取措施、效果及存在的问题,并提出建议。方法通过文献研究和现场调研收集资料,采用定性和定量分析软件进行数据分析。结果调研地区通过出台配套政策、统筹城乡医保和多元化筹资渠道等措施实现了农村孕产妇住院分娩政策的平稳过渡,如孕产妇保健服务利用、住院分娩率等较为稳定,但也存在顺产和剖腹产总费用上涨,报销比例较低的情况。结论调研地区农村孕产妇住院分娩保障政策过渡较为平稳,但仍存在一些问题,因此本研究提出如下建议:住院分娩顺产费用纳入基本医疗保障,逐步实现产妇零承担;合理制定住院分娩费用支付方式,促进孕产妇自然分娩;促进城乡孕产妇生育受益公平化,建立农村生育保险制度。

OBJECTIVE To analyze the measures, effects and existing problems of rural maternity hospital delivery in the survey area,and make recommendations. METHODS Data were collected through literature research and on-site investigation, and qualitative and quantitative analysis software was used for data analysis. RESULTS The survey area achieved a smooth transition of rural maternal hospital delivery policy by introducing supporting policies, coordinating urban and rural medical insurance, and diversified financing channels. For example, maternal health service utilization and hospital delivery rate are relatively stable. But the total cost of caesarean section has increased, but the reimbursement rate is lower. CONCLUSION The transition of rural maternal hospital delivery guarantee policy in the survey area is relatively stable, but there are still some problems. Therefore, the following suggestions are proposed in this study. The cost of hospital delivery should be included in the basic medical security;the payment method of hospitalization expenses should be rationally formulated to promote the natural delivery of pregnant women;and the rural maternity insurance system should be established.