2022年赣州市农村健康扶贫效果评价研究  

Research on the evaluation of rural health poverty alleviation effect in Ganzhou City in 2022

作　　者：刘国秋 郭敏 曾子仪 蒋馨 LIU Guoqiu;GUO Min;ZENG Ziyi;JIANG Xin(School of Public Health and Health Management,Gannan Medical University,Ganzhou,Jiangxi 341000,China)

机构地区：[1]赣南医科大学公共卫生与健康管理学院,江西赣州341000

出　　处：《中国公共卫生管理》2024年第1期46-49,共4页Chinese Journal of Public Health Management

基　　金：教育部人文社会科学研究青年基金项目(22YJC630085);江西省高校人文社会科学规划项目(GL23114);中国高等教育学会高等教育科学研究规划项目(22DL0404);江西省大学生创新创业训练计划项目(S202310413035)。

摘　　要：健康扶贫既是实现健康中国战略的关键环节,也是扶贫工作的难点。从健康帮扶政策满意度、医疗服务水平、医疗风险应对能力、健康状况评价4个维度对赣州市贫困县脱贫户进行调查,通过层次分析方法构建健康扶贫评价指标,并对效果进行评价。赣州市健康扶贫成效评价的得分为0.852分,总体评价为B,说明赣州市健康扶贫效果较好、健康水平大幅上升,农村地区医疗服务水平有待提升、贫困人群医疗风险应对能力有所提高,农村建档立卡贫困户对健康扶贫政策满意度普遍较高,但还存在贫困群众健康意识不足、基层卫生机构服务能力薄弱、医疗保障体系保障能力弱等问题。应加大健康宣传力度,提升脱贫户健康意识;坚持多方协作,提供多种医疗服务;加大医疗保障和基层医疗卫生机构建设投入,并创新保障困难群众健康水平的方式。Health poverty alleviation is a key link in realising the strategy of Healthy China,which is also a difficult point of poverty alleviation in Jiangxi Province.It was conducted on poverty alleviation households in poverty-stricken counties of Ganzhou City from four dimensions,satisfaction with health assistance policies,level of medical services,ability to respond to medical risks,and evaluation of health status,constructed health poverty alleviation evaluation indexes through hierarchical analysis method,and evaluated the effectiveness.The score of Ganzhou City health poverty alleviation effectiveness evaluation was 0.852,and the overall evaluation was B.It indicated that Ganzhou City health poverty alleviation had a better effect,with a substantial increase in the health level,a significant increase in the level of medical services in rural areas,an improvement in the ability of the poor people to cope with medical risks,and a generally high degree of satisfaction with the health poverty alleviation policy among the rural poor households with documented cards.However,there were still problems such as insufficient health awareness among poor people,weak capacity of grassroots health institutions,and weak capacity of the medical security system.Health promotion efforts should be stepped up to raise the health awareness of poverty-stricken households;multi-party collaboration should be maintained to provide a wide range of medical services;and investment in medical security and the construction of primary health-care institutions should be increased,as well as innovated ways to safeguard the health of people in difficulty.

关 键 词：健康扶贫 脱贫户 层次分析方法 

分 类 号：R197.1[医药卫生—卫生事业管理]