四川省雅安市雨城区地震灾后居民医疗服务需求与利用分析
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摘要
目的:分析居民的经济情况及健康状况,分析地震对居民造成的影响,评估后续医疗服务需求,为制定医疗救助政策提供政策建议。方法:采用问卷调查的方法,对雅安市雨城区437户家庭的1631名居民的医疗服务需求与利用情况进行调查。结果和结论:不同性别、年龄、文化程度、经济收入的灾区居民两周患病率均存在不同程度的统计学差异;灾区居民对医疗卫生服务的利用有限,经济因素是一个重要因素。建议加强对灾区居民的心理干预和健康教育;加大政策衔接力度,扩大医疗保障覆盖范围;注重医疗救助同其他救助工作的协调,提高救助体系系统效率。
Objectives:This article is to analyze the residents' economic situation,health status,and the seismic impact,to assess the follow-up demand for medical service,and to provide policy recommendations for making medical assistance policies. Methods: A questionnaire survey was conducted on 1 631 residents of 437 families in Yucheng district of Ya'an city about their demands and utilization of medical service. Results and conclusions: As regards to the two-week prevalence rate,there are more or less statistical differences in sex,age,education,and income level among the disaster area residents. This article finds that the disaster area residents' utilization of health service is so limited and the economic factor is an important factor. Suggestions: It is possible to strengthen the psychological intervention and health education to the disaster area residents,to increase the policy convergence and expand health insurance coverage,to focus on the coordination of medical assistance and other assistance work,and to improve the efficiency of the assistance system.
Objectives:This article is to analyze the residents' economic situation,health status,and the seismic impact,to assess the follow-up demand for medical service,and to provide policy recommendations for making medical assistance policies. Methods: A questionnaire survey was conducted on 1 631 residents of 437 families in Yucheng district of Ya'an city about their demands and utilization of medical service. Results and conclusions: As regards to the two-week prevalence rate,there are more or less statistical differences in sex,age,education,and income level among the disaster area residents. This article finds that the disaster area residents' utilization of health service is so limited and the economic factor is an important factor. Suggestions: It is possible to strengthen the psychological intervention and health education to the disaster area residents,to increase the policy convergence and expand health insurance coverage,to focus on the coordination of medical assistance and other assistance work,and to improve the efficiency of the assistance system.
引文
[1]汶川地震灾后医疗救助研究课题组.雅安市雨城区调查报告[R].2008.
[2]李长远,杨建飞.对完善我国农村医疗救助制度的思考[J].长春工业大学学报(社会科学版),2008,20(2):62-65.
[3]李建文.完善城乡社会救助体系初探[J].广东民政,2008,(10):19-20.
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[6]赵小艳.医疗救助与新农合制度有效衔接的现状分析[J].中国卫生事业管理,2008,25(5):298-300.
[7]王保真,李琦.医疗救助在医疗保障体系中的地位和作用[J].中国卫生经济,2006,25(11):40-43.
[8]贾维周.我国城市医疗救助制度的现况与对策研究[J].人口与经济,2008,(1):61-66.
[9]王利群.建构全民医疗保障体系的路径选择[J].中国劳动,2008,(6):25-27.
[2]李长远,杨建飞.对完善我国农村医疗救助制度的思考[J].长春工业大学学报(社会科学版),2008,20(2):62-65.
[3]李建文.完善城乡社会救助体系初探[J].广东民政,2008,(10):19-20.
[4]郭静,谢红莉.我国城市医疗救助制度现状与改进措施[J].中国医院,2008,12(9):40-43.
[5]车莲鸿.医疗救助制度与主体医疗保障制度衔接与整合研究[J].医学与哲学(人文社会医学版),2008,29(18):46-47,50.
[6]赵小艳.医疗救助与新农合制度有效衔接的现状分析[J].中国卫生事业管理,2008,25(5):298-300.
[7]王保真,李琦.医疗救助在医疗保障体系中的地位和作用[J].中国卫生经济,2006,25(11):40-43.
[8]贾维周.我国城市医疗救助制度的现况与对策研究[J].人口与经济,2008,(1):61-66.
[9]王利群.建构全民医疗保障体系的路径选择[J].中国劳动,2008,(6):25-27.
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