| 引用本文：陈楚, 潘杰.健康扶贫政策目标与因病致贫情境的确认评价——以贵州省赤水市健康扶贫实践为例[J].中国卫生政策研究,2019,12(4):71-79 |
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| 健康扶贫政策目标与因病致贫情境的确认评价——以贵州省赤水市健康扶贫实践为例 |
| 投稿时间：2018-10-10 修订日期：2019-03-02 PDF全文浏览 HTML全文浏览 |
| 陈楚1,2,3, 潘杰1,2 |
1. 四川大学华西公共卫生学院/四川大学华西第四医院 四川成都 610041;
2. 四川大学西部农村卫生发展研究中心 四川成都 610041;
3. 福建省卫生职业技术学院 福建福州 350000 |
| 摘要:目的：探讨健康扶贫政策目标与因病致贫情境的匹配情况。方法：采用案例研究法，对贵州省赤水市（国家集中连片特殊困难地区贫困县）42例因病致贫案例进行深度访谈，描绘因病致贫逻辑情境图，确认政策目标与情境的匹配情况。结果：通过大病和慢病的致贫逻辑情境图，呈现出了农户从健康冲击—应对策略—应对失败的“贫困—疾病—贫困”情境。结论：健康扶贫政策目标符合贫困情境；但目前仍存在政策情境例外的情况，如大病导致劳动力丧失、健康冲击后再面临应激事件等。例外情况体现健康扶贫的长期性和协同性，它需要持续开展，且将重点转移至疾病预防；同时，协同其他扶贫举措，能更好地推动贫困地区脱贫致富。 |
| 关键词:健康扶贫 情境确认 贫困 |
| 基金项目:教育部人文社科规划基金项目（18YJA790062）；四川省社会科学研究规划项目（SC18B054）；教育部学校规划建设发展中心西南地区旅游和健康教育扶贫实验项目（XN0305A） |
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| The relevance validation between poverty situation and the objective of health poverty alleviation project in China: Evidence from Chishui city in Guizhou province |
| CHEN Chu1,2,3, PAN JAY1,2 |
1. West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu Sichuan 610041, China;
2. West China Research Center for Rural Health Development, Sichuan University, Chengdu Sichuan 610041, China;
3. Fujian Health College, Fuzhou Fujian 350000, China |
| Abstract:Objective:This paper aims to deliberation the justification of the objectives of the health poverty alleviation project. Methods:A theory-based case study is designed to understand the pathways from illness to poverty. In-depth interviews are carried out with 42 poverty households in Chishui City, Guizhou Province. Results:The scenarios from illness to poverty are presented. It shows the impacts of illness and the corresponding coping strategies to mitigate these impacts. Conclusion:The objective of the health poverty alleviation project is appropriate to the situation of poverty caused by illness. However, the interventions of the health poverty alleviation project do not consider the long-term effect of sequelae of illness and other simultaneous stressful events, which lead to long-term poverty. |
| Key words:Health poverty alleviation project Situation validation Poverty |
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