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目的分析济困医院就诊患者对医疗救助政策的认知和需求利用情况,为医疗救助政策的改进提供建议。方法对2家济困医院门诊和住院患者576名进行问卷调查,问卷内容包括基本信息和医疗救助政策认知、医疗救助需求、申请医疗救助程序的接受情况、医疗救助实施效果评价以及对现行医疗救助政策满意度5个问题。结果济困医院门诊及住院患者对医疗救助政策认知度均较低,差异无统计学意义(P>0.05),住院患者对医疗救助的需求、医疗救助申请程序的接受度、对医疗救助效果的评价以及对现有救助制度的满意度均高于门诊患者(P<0.05)。结论尚需加强医疗救助政策的宣传力度,提高政策知晓率,优先纳入贫困老年患者,消除群众畏难自卑情绪,发挥济困医院社区卫生服务功能。
Objective To analyze the cognition and demand utilization of medical assistance policy in patients in Jiyuang Hospital and provide suggestions for the improvement of medical assistance policy. Methods A total of 576 outpatients and inpatients in two poverty-stricken hospitals were surveyed. The questionnaire included the basic information and medical assistance policy cognition, the demand for medical assistance, the acceptance of applying for medical assistance, the evaluation of the implementation of medical assistance, 5 questions about salvation policy satisfaction. Results The outpatient and hospitalized patients in Jiyuang Hospital had a lower awareness of medical aid policy, with no significant difference (P> 0.05), the demand for medical assistance in hospitalized patients, the acceptance of medical aid application procedures, the effect on medical aid The evaluation and satisfaction with the existing aid system were higher than that of outpatients (P <0.05). Conclusions There is still a need to strengthen the propaganda of medical aid policy, raise the awareness rate of policies, give priority to the inclusion of poor elderly patients, eliminate the masses’ fear of inferiority and inferiority, and give full play to the community health service function of the poor hospitals.