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目的:了解流动儿童参加苏州市社会基本医疗保险制度的实施现状,着重分析苏州市流动儿童参加医疗保险制度运行特点、现状及反应性,进而对我国流动儿童基本医疗保险的发展提出建议。方法:综合各地相关政策文件,深入流动人口集宿地、市儿童医院、中小学校等地发放问卷,综合运用Epidate3.1统计录入、SPSS18.0、Excel等软件进行统计分析。结果:流动儿童基本医疗服务需求较高,但卫生服务利用率低;苏州儿童医疗保险制度的实施惠及了流动儿童家庭;政策宣传不到位,未参加社会基本医疗保险的流动儿童比例较高;部分流动儿童因制度规定无法参加儿童医疗保险。结论:政府应该确立保护流动儿童是政府的一种公共责任;优化社会医疗保障体系,关爱流动儿童健康;加大宣传力度,让利好于流动儿童的基本医疗保险制度具有普及性;加强对流动儿童在异地参保的管理,减少漏保与重复参保概率;利用高科技手段,提升居住证上信息识别功能等。
Objective: To understand the status quo of migrant children participating in the implementation of basic medical insurance system in Suzhou City, and to analyze the characteristics, current situation and reactivity of migrant children participating in the medical insurance system in Suzhou and to make suggestions on the development of basic medical insurance for migrant children in our country. Methods: According to the relevant policies and documents of all localities, questionnaires were distributed to migrant populations, children’s hospitals, primary and secondary schools, and other places. Statistical analysis was conducted by using Epidate 3.1 statistical entry, SPSS18.0, Excel and other software. Results: The demand for basic medical services for migrant children was high but the utilization rate of health services was low. The implementation of the Suzhou child medical insurance system benefited migrant children families. The policy advocacy was not in place and the proportion of migrant children who did not participate in social basic medical insurance was relatively high. Migrant children are unable to participate in child health insurance due to system rules. Conclusion: The government should establish a public responsibility for the government to protect migrant children; optimize the social medical security system and care for the health of migrant children; intensify publicity so as to make universal the basic medical insurance system favorable to migrant children; In the remote management of insured, to reduce the leakage insurance and repeat the probability of participation; the use of high-tech means to enhance the residence permit information recognition capabilities.