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[目的]了解农村贫困居民慢性病的患病现状以及新农合、医疗救助对慢性病门诊治疗的费用补偿、救助情况,为将慢性病门诊治疗纳入新农合范围和贫困医疗救助范围或提高补偿、救助比例提供依据。[方法]采用定量研究与定性研究相结合的研究方法,通过问卷调查,对4470位农村居民进行调查,通过文献法,收集相关政策文件,了解补偿、救助现状。[结果]被调查农村贫困居民的慢性病患病率为354.0‰,月门诊费用的中位数为150.0元,最大值为3300.0元,慢性病年门诊治疗费用与人均收入之比的中位数为1.0,最大值为39.7,在调查地区,只有一个区县将慢性病门诊纳入新农合补偿范围和贫困医疗救助范围。[结论]在调查地区的农村贫困居民中,慢性病患病现状不容乐观,慢性病门诊费用负担比较重,但对慢性病门诊治疗费用补偿、救助力度不够,在新农合补偿和贫困医疗救助方案设计时应给予考虑。
[Objective] To understand the prevalence of chronic diseases among poor rural residents and the compensation and relief of new rural cooperative medical services and medical aid for the treatment of chronic disease outpatient services. In order to bring the out-patient treatment of chronic diseases into the scope of new rural cooperative medical care and poverty medical assistance or improve compensation and relief Proportion provided basis. [Methods] Using the research methods of quantitative research and qualitative research, we surveyed 4,470 rural residents through questionnaires and collected relevant policy documents through literature method to understand the status quo of compensation and relief. [Results] The prevalence of chronic diseases in poor rural residents surveyed was 354.0 ‰, the median monthly outpatient expenses was 150.0 yuan, and the maximum was 3300.0 yuan. The median cost-to-income ratio of chronic out-patient clinics was 1.0 , The maximum is 39.7. In the survey area, only one district and county will include the chronic disease clinic in the range of new rural cooperative medical compensation and the range of poor medical assistance. [Conclusion] Among the rural poor residents in the surveyed area, the prevalence of chronic diseases is not optimistic, and the burden of outpatient services on chronic diseases is relatively heavy. However, the compensation and relief for chronic disease outpatient services are not enough. In the design of NCMS and poor medical aid programs Should be given consideration.