引用本文:王雪峰, 辛艳姣, 蒋俊男, 项莉.重特大疾病医疗救助不同模式下“健康扶贫”效果研究[J].中国卫生政策研究,2019,12(6):52-56 |
|
重特大疾病医疗救助不同模式下“健康扶贫”效果研究 |
投稿时间:2018-06-22 修订日期:2018-09-30 PDF全文浏览 HTML全文浏览 |
王雪峰1,2, 辛艳姣1, 蒋俊男1, 项莉1 |
1. 华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030; 2. 湖北省高校人文社科重点研究基地农村健康服务研究中心 湖北武汉 430030 |
摘要:目的:比较湖北省A地重特大疾病医疗救助按病种和按费用救助模式下政策实施效果,为进一步完善重特大疾病救助制度提供政策建议。方法:分别于2013和2016年在湖北省A地进行机构调查和现场问卷调查,收集大病患者住院补偿、救助信息和家庭收入情况,综合运用描述性统计方法和卡方检验分析重特大疾病医疗救助实施效果。结果:转为按费用救助模式后,2016年大病救助受益率(13.2%)较2013年(12.2%)并未有效扩大,实际救助力度较低。因病致贫对象政策范围内救助比例和封顶线经调整后均有所下降,使得因病致贫对象救助水平进一步降低。结论:重特大疾病医疗救助对象范围扩大后,因病致贫对象疾病经济负担仍然较重。应综合考虑疾病经济负担和家庭经济水平,提升重特大疾病救助针对性,适当提高重特大疾病医疗救助水平。 |
关键词:重特大疾病 医疗救助 因病致贫 健康扶贫 |
基金项目:国家自然科学基金(71573095) |
|
Study on the effect of catastrophic disease medical assistance on Health Poverty Alleviation under different models |
WANG Xue-feng1,2, XIN Yan-jiao1, JIANG Jun-nan1, XIANG Li1 |
1. School of Social Medicine and Health management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei 430030, China; 2. Research Center for Rural Health Services, Hubei Province Key Research Institute of Humanities and Social Sciences, Wuhan Hubei 430030, China |
Abstract:Objective:To compare the effect of policy implementation before and after the transformation of the policy of medical assistance for catastrophic diseases in Hubei province, Area A, and provide reference and suggestions for the improvement of the same policy. Methods:During the period of 2013 and 2016, institutional and field surveys were conducted in Hubei province, Area A, aimed at collecting information about the hospitalization fee compensation, assistance situation and family income of patients diagnosed with catastrophic diseases.t The implementation of medical assistance was analyzed by descriptive statistics and chi-square test methods in the depiction of suitable medical treatment for catastrophic diseases. Results:After switching to the fee-based model, the benefit rate of 13.2% recorded in 2016 was not effectively increased compared to that of 2013 (12.2%), and the actual assistance level was still limited. The financial aid rate and upper limit within the scope of the policy for people who suffer poverty caused by illness have been adjusted and showed a decreasing trend after adjustment, which made the actual assistance level lower. Conclusion:After the coverage of catastrophic disease medical assistance is expanded, patients still suffer from heavy economic burden of diseases, which induce a certain level of poverty. The economic burden and level of the family's financial capabilities should be comprehensively considered to make the medical assistance for catastrophic disease more targeted and appropriately improve the level of medical assistance for those major and severe diseases. |
Key words:Catastrophic disease Medical assistance Poverty caused by illness Health Poverty Alleviation |
摘要点击次数: 1242 全文下载次数: 625 |
|
|
|
|
|