2017-2018年四川省秦巴山区农村医疗与居民因病致贫现状调查  

Surrey on the Current Situation of Rural Medical Treatment and Poverty Caused By Disease in Qinba Mountain Area Sichuan Province 2017-2018

作　　者：秦晓明[1] 张光 何洋 姜青松[1] 王海峰 刘琳[1] QIN Xiaoming;ZHANG Guang;HE Yang;JIANG Qingsong;WANG Haifeng;LIU Ling(Sichaun College of Traditional Chinese Medicine,Mianyang 621000,Sichuan Province,China)

机构地区：[1]四川中医药高等专科学校,四川绵阳621000

出　　处：《预防医学情报杂志》2020年第7期863-868,共6页Journal of Preventive Medicine Information

基　　金：四川省科技计划项目子课题(项目编号:2017ZR0261-01)。

摘　　要：目的了解四川秦巴山区农村居民因病致贫现状,为健康扶贫提供科学依据。方法 2017-11/2018-03采用分层随机方式抽取四川秦巴山区平武县、旺苍县、通江县、开江县进行调查,基本情况数据主要来源于当地国民经济和社会发展统计公报。另按照经济条件好、中、差分别在每县抽取一个乡镇,每个乡镇分别抽取一个村,每个村调查贫困户15~20户进行调查,并对调查结果进行统计学描述。结果四川秦巴山区农村居民贫困发生率3.2%~7.0%,因病致贫返贫率占贫困发生率28.3%~63.1%;2016年贫困家庭经济总收入平均为5 647.3元,医药费用支出为总收入的2.2倍;贫困患者住院治疗比例(87.0%),住院期间有陪护人员比例(78.8%),住院患者疾病转归需要长期治疗或服药的比例(66.5%);因病休工的天数中位数是108 d;因病致贫返贫原因主要是医疗费用负担重、稳定收入减少、因疾病损失自身劳动力,分别(78.6.1%、64.2%、50.2%)。结论四川秦巴山区农村贫困居民因病致贫返贫率较高,家庭经济收入低而医疗费用负担重。要依法加强贫困地区基本医疗卫生与健康促进体系建设,继续执行健康扶贫相关的基本医疗保险和医疗保障扶持政策,实行可持续的大病医疗费用兜底救助,使贫困人口脱贫,减少因病致贫、因病返贫。Objective To understand the current situation of poverty caused by diseases in rural residents in Qinba mountainous area of Sichuan Province so as to provide scientific basis for healthy poverty reduction. Method From November 2017 to March 2018,Pingwu County,Wangcang County,Tongjiang County and Kaijiang County in Qinba mountain area of Sichuan Province were selected by a stratified random sampling method. The basic data were mainly collected from the local national economic and social development statistical bulletin. Based on the good, medium and poor economic conditions, one township in each those county was randomly selected.Then, one village in each selected township was randomly chosen. 15-20 poor households in each selected village were investigated, and the results were statistically described. Result The incidence of poverty is 3.2%-7.0% among rural residents in the Qinba Mountainous Area of Sichuan Province. The average economic income of poor families was RMB 5 674.34 in 2016,and medical expenses are 2.22 times as the total income. 86.97% of poor patients needed to be hospitalization.The proportion of hospitalization needing accompany was 78.8%. 66.5% of the hospitalized patients had diseases requiring long-term treatment or medication. The median number of days off due to illness was 108 days. The main causes of poverty caused by diseases are the heavy burden of medical expenses(78.6%),the reduction of stable income(64.2%),and the loss of labor due to diseases(50.2%). Conclusion Poor rural residents have a high rate of poverty due to illness and return to poverty in the Qinba Mountains. Family income is low, and the burden of medical expenses is relatively heavy. It is necessary to strengthen the construction of basic medical, health and health promotion systems in poor areas according to law. We should continue to implement basic medical insurance and medical security support policies related to health poverty alleviation,and implement medical assistance for major medical expenses aiming to reduce po

关 键 词：四川秦巴山区 农村居民 因病致贫返贫 

分 类 号：R197[医药卫生—卫生事业管理]