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目的:为了探讨结核病防治保险的可能性和模型。方法:采取村民自付、集体统筹为村民办理结核病防治保险,儿童免费预防接种、结核病人减免50%药费治疗,全免费实行全程督导化疗。结果:运行三年年人均防保金067元,为试点前的134倍;年结核病人发现率792/10万为试点前的2倍;活动病人治愈率953%(涂阳为916%),较试点前明显提高;90%以上儿童接受预防接种,三年结核病疫情下降65%;防治保险金收支平衡。结论:该保险模型是可行的,取得了显著的社会效益和经济效益;领导重视、广泛的宣传发动、健全三级防痨保健网是防治保险取得成功的关键。
Objective: To explore the possibility and model of tuberculosis prevention and control insurance. Methods: Take the villagers pay the collective co-ordination for the villagers for tuberculosis prevention and treatment insurance, free vaccination of children, tuberculosis patients relief 50% drug treatment, full implementation of the entire free guide chemotherapy. Results: The per capita protection premium for three-year operation was 0.67 yuan, 134 times higher than that before the trial. The detection rate of annual tuberculosis was 792 / 100 thousand times that before the experiment, and the cure rate of active patients was 953% Yang 91.6%), significantly higher than before the pilot; more than 90% of children received vaccination, three-year drop of 65% of tuberculosis epidemic; prevention and control of financial balance of payments. Conclusion: The insurance model is feasible and has achieved significant social and economic benefits. The leadership, the extensive publicity and promotion of health insurance network are the keys to prevent and control the success of insurance.