“汶川地震”灾后医疗救助(治)服务包设计实证研究
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摘要
目的:通过对"汶川地震"灾后医疗救助(治)服务包的开发进行实证研究,以帮助当地民政部门制定相关灾后医疗救助(治)政策,并希望对今后自然灾害后的医疗救助(治)工作起到借鉴作用。方法:采用问卷调查的方法,在不同灾区共调查住户6416户(15788人),并在此基线数据基础上,依据相关原理及方法,制定灾后医疗救助服务包。结果:灾后居民卫生服务需求急剧增加,灾区居民疾病谱发生变化,同时由于居住环境的变化引起一些慢性疾病的发病率明显增高,精神健康问题严重。结论:增加慢性病的门诊救助服务包;为严重伤残等特殊困难群众制定必要的救助服务包;加强对灾区居民的精神健康教育与心理干预等。
Objective:According to empirical research of disaster medical assistance service package,to help the local civil affairs department of the relevant post-disaster medical assistance policy,and to provide references for the work of the medical rescure in natural disaster.Methods:A questionnaire survey is carried out in 6 416 homes(15 788 residents)in different affected areas,according to baseline data and the relevant theory to develop post-disaster medical assistance service packs.Results:The post-disaster health needs of residents increased dramatically.The diseases in disaster areas change a lot.Meanwhile,the incidences of chronic diseases increase because of the environmental change.And the problems of mental diseases are serious.Conclusion:Chronic disease patient service packs should be increased and assistance to the necessary for the severely disabled with special difficulties should be established;the mental health of residents in affected areas of psychological intervention should be strengthened.
Objective:According to empirical research of disaster medical assistance service package,to help the local civil affairs department of the relevant post-disaster medical assistance policy,and to provide references for the work of the medical rescure in natural disaster.Methods:A questionnaire survey is carried out in 6 416 homes(15 788 residents)in different affected areas,according to baseline data and the relevant theory to develop post-disaster medical assistance service packs.Results:The post-disaster health needs of residents increased dramatically.The diseases in disaster areas change a lot.Meanwhile,the incidences of chronic diseases increase because of the environmental change.And the problems of mental diseases are serious.Conclusion:Chronic disease patient service packs should be increased and assistance to the necessary for the severely disabled with special difficulties should be established;the mental health of residents in affected areas of psychological intervention should be strengthened.
引文
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[2]陈埙吹,王健,孙强,等.成都和沈阳市救助对象对UHPP项目的满意度研究[J].中华医院管理杂志,2007,23(4):246-248.
[3]刘远立,程晓明,孟庆跃,等.贫弱人群医疗救助基本服务包的设计[J].中国卫生经济,2003,24(8):74-76.
[4]Larson CO,Schlundt D,Patel K,et al.Validity of the SF-12for use in a low-income African American community-based research initiative[J].Prev Chronic Dis.2008(5):44.
[5]Nick K,Evelina P,Dimitris N,et al.Validity of SF-12summary scores in a Greek general population[J].Health and Quality of Life Outcomes.2007(5):55.
[6]孟庆跃,姚岚.中国城市医疗救助理论和实践[M].北京:中国劳动社会保障出版社,2007:128-143.
[7]Peng K,Shucheng H,Xunchui C,et al.Factors influencing posttraumatic stress disorder:A cross-sectional study among survivoes of the Wenchuan2008earthquake in China[J].Depression and Anxiety,2009,26(12):1134-1140.
[8]Kun P,Chen X,Han S,et al.Prevalence of Posttraumatic Stress Disorder in Sichuan Province,China,after2008Wenchuan earth-quake[J].Public Health,2009,123(11):703-707.
[9]陈埙吹,鲲鹏,易春黎,等.基于四川汶川地震灾后医疗救助基线调查[J].中华医院管理杂志,2010,26(3):194-198.
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