甘肃省职业性尘肺病现患病例社会保障享受情况分析  

Analysis of the guarantee and enjoyment of patients with occupational pneumoconiosis in Gansu Province

作　　者：赵文莉[1] 李慧[1] 孙卫[1] Zhao Wenli;Li Hui;Sun Wei(Department of Occupational Health,Gansu Provincial Center for Disease Control and Prevention,Lanzhou 730000,China)

机构地区：[1]甘肃省疾病预防控制中心职业卫生科,兰州730000

出　　处：《中华劳动卫生职业病杂志》2022年第1期32-35,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：甘肃省卫生行业科研计划项目(GSWSKY2020-56);甘肃省科技计划项目(创新基地和人才计划)(20JR10RA420)。

摘　　要：目的分析甘肃省职业性尘肺病患者享受保障情况,为研究加强尘肺病患者兜底保障措施奠定基础。方法于2020年8月,对甘肃省1949年至2019年诊断且存活的现患职业性尘肺病患者开展随访调查,获取甘肃省职业性尘肺病患者的工伤保险、用人单位赔付、医疗保险、低保补助等信息,并分析其分布特征。患者享受各类保障、医保报销以及低保补助的比例构成情况用χ^(2)检验。结果甘肃省现患职业性尘肺病患者中,72.0%(5335/7410)享受工伤保险待遇,8.2%(609/7410)享有用人单位赔付,91.5%(6780/7410)有医疗保险,2.8%(204/7410)无任何保障。现患职业性尘肺病患者中,享受低保者共计374人,占5.05%(374/7410);其中享受低保比例较高的首诊期别为叁期,占15.14%(43/284)。结论甘肃省职业性尘肺病患者医保门诊和住院报销比例仍处较低水平。建议有关部门出台针对无固定用人单位的劳动者有关兜底保障政策,减轻患者经济负担。Objective To analyze the security situation of patients with occupational pneumoconiosis in Gansu Province to lay the foundation for strengthening the security measures for patients with pneumoconiosis.Methods In August 2020,a follow-up survey was conducted on the current patients with occupational pneumoconiosis diagnosed and surviving in Gansu Province from 1949 to 2019,to obtain the information of industrial injury insurance,employer compensation,medical insurance,subsistence allowance and so on,and analyze their distribution characteristics.The proportion of patients enjoying various security,medical insurance reimbursement and subsistence allowances was tested by chi square.Results Among the current patients with occupational pneumoconiosis in Gansu Province,72.0%(5335/7410)enjoyed the benefits of work-related injury insurance,8.2%(609/7410)enjoyed the compensation paid by the employer,91.5%(6780/7410)had medical insurance,and 2.8%(204/7410)had no guarantee.Among the patients with occupational pneumoconiosis,374 enjoyed the minimum living allowance,accounting for 5.05%(374/7410);the first diagnosis period with a high proportion of minimum living allowance was phaseⅢ,accounting for 15.14%(43/284).Conclusion The proportion of medical insurance outpatient and inpatient reimbursement of occupational pneumoconiosis patients in Gansu Province is still at a low level.It is suggested that relevant departments should introduce relevant security policies for workers without fixed employers to reduce the economic burden of patients.

关 键 词：尘肺病 社会保障 卫生调查 甘肃省 

分 类 号：R135.2[医药卫生—劳动卫生]