“贫困-疾病”恶性循环防治机制研究

Study on the Mechanism of Prevention and Treatment of“Poverty-disease”Vicious Circle

目的:为降低贫困人口就医负担,实现健康脱贫提供政策建议。方法:通过分析"贫困-疾病"恶性循环的作用机理和影响因素,找出斩断"贫困-疾病"恶性循环链条的举措。结果:贫困有可能导致健康风险和健康状况恶化进而引发疾病,疾病又会通过人力资本和物质资本的传递引致深度贫困,之所以会形成这样的恶性循环,主要受自然、经济、社会环境和心理等错综复杂的因素的影响,健康扶贫是斩断这一循环链条的关键。结论:健康扶贫就是要强化医疗保障网,构建由卫生健康知识普及、定期检查、大病筛查、病有所医、医有保障和协同治理构成的防治"贫困-疾病"恶性循环的机制。

Objective:To provide policy proposals for reducing the burden of medical care for the poor and thus achieve poverty relief through improving healthcare.Methods:It finds out the measure for breaking the chain of the vicious cycle between poverty and disease by analyzing its mechanism of action and influencing factors.Results:Poverty may result in health risks and health condi⁃tions deteriorating and then causing diseases.Diseases may cause extreme poverty which is passed by human capital and physical cap⁃ital.The reasons for the formation of such a vicious cycle are various complicated natural,economic,social environmental and mental factors.The key to breaking the chain of this cycle is poverty alleviation.Conclusion:In order to achieve poverty alleviation,it is nec⁃essary to strengthen the healthcare network and build the mechanisms of prevention and treatment of the vicious cycle between pover⁃ty and disease,such mechanisms consist of health knowledge spreading,regular checkup,major disease screening,the availability of medical services and medical insurance,and collaborative governance.