中国医疗救助试点城市情况调查  

Investigation on urban medical assistance in tentative cities

作　　者：唐云锋[1] 王汝芬[1] 曲淼[1] 

机构地区：[1]山东省潍坊医学院预防医学系,潍坊261042

出　　处：《中国公共卫生》2008年第9期1126-1127,共2页Chinese Journal of Public Health

基　　金：中英城市社区卫生与贫困救助项目(NPMO09)

摘　　要：目的了解试点城市医疗救助对象对医疗救助的知晓、利用及健康改善情况和评价情况,为进一步提高医疗救助的可及性及完善医疗救助政策提供依据。方法2007年,对6个试点城市的1 116户城市医疗救助对象进行调查。结果调查1 116人,总知晓率为44.98%,下岗职工为30.52%,其他人员为47.18%,差异有统计学意义(P<0.01);东部地区为57.02%,中部为37.35%,西部为19.10%,差异有统计学意义(P<0.01);利用率与健康改善率较低;52.44%的人认为医疗救助程序比较复杂,87.00%的人认为医疗救助政策比较公平,81.29%的人认为门诊救助额度比较低,75.76%的人认为住院救助额度比较低,72.85%的人认为理想的救助模式是大小病兼顾大病为主。结论医疗救助对象对医疗救助政策的知晓率较低且存在地区差异,医疗救助的资金投入不足。Objective To study the knowledge, utilization and evaluation of the Medicaid among assisted objects in tentative cities in order to provide rationalization proposal on improving the accessibility of Medicaid and perfecting Medicaid policy. Methods i 116 households were sampled to carry on the questionnaire survey among poor citizens in 2007. Results The total knowing rate of Medicaid was only 44.98 % among all participants and 30.52 % among laid - off workers, 47.18 % among other poor citizens（ P 〈 0.01 ）. The knowing rate among the subjects in the eastern area was 57.02 %, 37.35 % in the middle area and 19.10 % in the western area （P 〈 0.01）. 52.44 % of poor citizens surveyed thought the Medicaid program was complex, 87.00 % of poor citizens surveyed considered the Medicaid a fair policy and 81.29 % thought the Medicaid cost was low for inpatients. 72.85 % of poor citizens surveyed thought the perfect support pattern should include serious diseases and indispositions. Conclusion The knowing rate of the Mediaid is very low and regional disparity is obvious. The capital in- vestment is deficient in tentative cities of Medicaid.

关 键 词：城市贫困居民 救助政策 知晓率 

分 类 号：R197[医药卫生—卫生事业管理]