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目的:了解法国无国界医生组织在广西壮族自治区边远地区贫困人口实施医疗减免制度的情况,从而对贫困人口实施医疗减免制度的效果进行评价。方法:对项目覆盖的9个村(人口8477人),按减免类别分为A(非减免家庭)、B(半减免家庭)和C(全免家庭)类,计算分析各类人口的就诊数和所支付的医药费和治疗费。结果:减免制度涉及的村民平均每人花费1.70元/年,减免制度涉及的享有减免待遇(B类和C类)村民平均花费4.00元/年就可享受基本的医疗服务。结论:对贫困地区人口实施医疗减免制度是花钱少、见效快、使贫困边远山区的村民更容易获得基本医疗服务,同时,又是保证村卫生所保本经营,防止村民因贫致病、因病致贫的有效手段。
Objective: To understand the implementation of the medical exemption system by the MSF organization in the remote areas of the Guangxi Zhuang Autonomous Region, and to evaluate the effectiveness of the impoverished population in implementing the medical exemption system. Methods: The 9 villages (population 8477) covered by the project were divided into A (non-reduced family), B (half-reduced family) and C (free-family) categories according to the type of deductions, and the number of visits to various types of population was calculated and analyzed. And the medical expenses and treatment fees paid. Result: The villagers involved in the reduction and exemption system spend an average of RMB 1.70 per person per year. The villagers entitled to deductions and exemptions (Class B and C) spend an average of RMB 4.00 per year to enjoy basic medical services. Conclusion: The implementation of the medical exemption system for the population in poverty-stricken areas is less costly and faster, and makes it easier for villagers in remote mountainous areas to obtain basic medical services. At the same time, it guarantees that the village clinics will maintain their operations and prevent the villagers from becoming ill due to poverty. Poverty is an effective means.