中国循证医学杂志

中国循证医学杂志

2017 年四川省 1 280 例贫困人口对医疗救助政策知晓度和满意度的横断面调查

查看全文

目的了解四川省贫困人口对医疗救助政策的知晓度和满意度状况,为完善相关政策提供科学依据。方法采用多阶段、分层随机抽样方法,抽取四川省 1 280 名贫困人群作为调查对象,于 2017 年 10 月至 12 月进行电话调查。调查内容包括一般人口学资料、健康扶贫政策知晓状况、健康扶贫满意度状况。结果四川省贫困人口对医疗救助政策知晓率为 91.80%,满意率为 91.88%。来自非贫困县、已脱贫、自报没有签约家庭医生的贫困人群对医疗救助政策知晓率较低;来自非贫困县、通常在市级医疗机构就医、自报没有签约家庭医生、不知晓医疗救助政策的贫困人群的满意率较低。结论四川省贫困人口医疗救助政策整体知晓率和满意率较高,但仍存在薄弱之处。今后应注重加强对“插花式”贫困地区、已脱贫地区贫困人口的政策宣传,加快推进家庭医生签约服务,探索进一步减轻依规转诊至县域外就医的贫困人口医疗费用负担的方法。

ObjectivesTo explore the poor population’s cognition and satisfaction on medical assistance policies in Sichuan province, so as to provide evidence for improving health poverty alleviation policies.Methods A telephone survey was conducted between October and December 2017 among 1 280 poor individuals in Sichuan Province, with multi-stage stratified random sampling. The contents of the survey included general demographics of the poor population, and knowledge and satisfaction of health poverty alleviation policies.ResultsThe awareness rate of medical assistance policy was 91.80%, and the satisfaction rate was 91.88%. Poor individuals from non-poor counties, who had been out of poverty, and who reported that they had not signed up for family doctors, had low awareness of poverty alleviation policies. Poor individuals from non-poor counties, who usually went to the municipal hospital, who reported that they have not signed up for family doctors, and who do not know about health policies for poverty alleviation had a lower satisfaction rate.ConclusionsThe overall awareness rate and satisfaction rate of medical assistance policies in Sichuan province are relatively high, however, there are still some shortage. In the future, more attention should be paid to strengthen the promotion of health poverty alleviation policies for non-poor areas and those who had been lifted out of poverty, speeding up the contract service of family doctors and exploring ways to further alleviate the burden of medical expense of patients with serious diseases.

关键词: 医疗救助政策; 知晓度; 满意度; 四川; 横断面调查

Key words: Medical assistance policy; Awareness rate; Satisfaction rate; Sichuan; Cross sectional survey

引用本文: 周敏, 唐雪峰. 2017 年四川省 1 280 例贫困人口对医疗救助政策知晓度和满意度的横断面调查. 中国循证医学杂志, 2019, 19(3): 276-280. doi: 10.7507/1672-2531.201809082 复制

登录后 ,请手动点击刷新查看全文内容。 没有账号,
登录后 ,请手动点击刷新查看图表内容。 没有账号,
1. 汪连杰. 马克思贫困理论及其中国化的探索与发展. 上海经济研究, 2018, (9): 15-21.
2. 程世勇. 全面建成小康社会与大格局内生化扶贫模式建构. 湖北社会科学, 2018, (11): 26-31.
3. 十九大报告. 决胜全面建成小康社会夺取新时代中国特色社会主义伟大胜利. Available at: http://cpc.people.com.cn/19th/n1/2017/1027/c414395-29613458.html.
4. 国务院新闻办公室. 健康扶贫工程是" 十三五”脱贫攻坚的超常规举措. Available at: http://www.scio.gov.cn/xwfbh/xwbfbh/wqfbh/33978/34697/zy34701/Document/1481134/1481134.htm.
5. 王培安. 健康扶贫为健康中国建设补短板. 中国卫生, 2017, (5): 26-27.
6. 王培安. 实施健康扶贫工程防止农村贫困人口因病致贫因病返贫. Available at: http://www.nhfpc.gov.cn/zhuz/mtbd/201703/399de486b5e044a89dfed9e8c1ff596e.html.
7. 四川省卫生和计划生育委员会. 四川省健康扶贫" 五大行动”新闻通气会. Available at:http://www.scwst.gov.cn/hd/zxft/201705/t20170518_13551.html.
8. 人民网. 四川贯彻落实健康扶贫阻断因病致贫因病返贫. Available at: http://sc.people.com.cn/n2/2017/0614/c345167-30327537.html.
9. 四川省人民政府. 省卫生计生委、人力资源社会保障厅财政厅、民政厅、省扶贫移民局关于印发《四川省建档立卡贫困人口医疗保障实施方案》的通知. Available at: http://www.sc.gov.cn/10462/11855/12018/12058/2016/10/8/10398213.html.
10. 四川省卫生和计划生育委员会. 中共四川省委办公厅、四川省人民政府办公厅印发《四川省健康扶贫专项2017年实施方案》. Available at: http://www.scwst.gov.cn/zt/jkfp/201703/t20170315_13369.html.
11. 四川省卫生和计划生育委员会. 关于加强健康扶贫宣传工作的通知. Available at: http://www.scwst.gov.cn/wj/zcwjjjd/zcwj/201609/t20160912_11308.html.
12. 四川省卫生和计划生育委员会. 达州市通川区健康扶贫政策宣传出实招. Available at:http://www.scwst.gov.cn/zt/jkfp/201705/t20170519_13558.html.
13. 四川省人民政府. 中共四川省委关于集中力量打赢扶贫开发攻坚战确保同步全面建成小康社会的决定. Available at: http://www.sc.gov.cn/10462/12771/2015/7/16/10343771.html.
14. 四川省卫生和计划生育委员会. 中共四川省委办公厅、四川省人民政府办公厅印发《四川省健康扶贫专项2017年实施方案》. Available at: http://www.scwst.gov.cn/zt/jkfp/201703/t20170315_13369.html.
15. 四川省卫生和计划生育委员会. " 多元化”关爱送温情" 精准化”扶贫暖民心. Available at: http://www.scwst.gov.cn/zt/jkfp/201803/t20180327_15390.html.
16. 唐容蓉. 四川营山:健康扶贫" 三优先”为贫困群众擎起健康蓝天. 中国乡村医药, 2018, 25(18): 61-62.
17. 四川省人民政府. 四川深度贫困地区城乡医疗卫生对口支援" 传帮带”工程培训会举行. Available at: http://www.sc.gov.cn/10462/12771/2018/1/3/10442039.html.
18. 黄国武, 仇雨临, 肖喻心. 深度贫困地区健康扶贫研究: 以四川凉山州分级诊疗为例. 中央民族大学学报(哲学社会科学版), 2018, 45(5): 121-129.
19. 四川省卫生和计划生育委员会. 剑阁县建设市县村" 三级远程诊疗平台”破解偏远患者看病难. Available at: http://www.scwst.gov.cn/zt/jkfp/201712/t20171228_14477.html.
20. 四川省人民政府. 实施健康扶贫" 一站式服务”. Available at: http://www.sc.gov.cn/10462/10778/10876/2018/2/1/10444217.html.