论文部分内容阅读
目的通过对参合并受益农民的调查,研究农民医疗资源利用情况,找出相应对策,以进一步完善新型农村合作医疗(简称新农合)制度,提高河南省医疗保障水平。方法设计严密的调查方案,采用新农合调查表对参加新农合并受益农民进行调查研究。调查内容涉及调查对象的社会人口学特征,如性别、年龄、婚姻和教育程度等;调查对象参合情况,家庭其他成员的参合情况等,家庭经济状况、此次患病住院情况;对卫生服务的反应性、卫生服务需求和利用情况等。结果河南省新农合受益农民普遍对新农合制度表示支持,河南省参合农民卫生服务可及性较好,但仍需提高,新农合的实施在一定程度上释放了参合农民的卫生服务需求,但经济困难的农户卫生服务需求、利用受抑制现象仍较严重。在村卫生所,乡、镇、街道、社区卫生院和县级医院看门诊是参合农民的主要选择,住院治疗首选县级医院。结论政府部门应加强农村三级医疗网建设,出台操作性强的政策,通过政策扶持和资金投入,让农村基层医院发挥更大的作用,让农村医疗资源得到最大化利用。
Objective To investigate the utilization of medical resources of peasants and to find out corresponding countermeasures by investigating participating and benefiting peasants, so as to further improve the new rural cooperative medical system (referred to as NCMS) and improve the level of medical insurance in Henan Province. Methods A rigorous survey program was designed to investigate and participate farmers participating in NRCMS by using NRCMS questionnaires. The survey covered the socio-demographic characteristics of the surveyed persons, such as gender, age, marital status and education level; the participation status of the respondents, the participation status of other family members, family economic status, and the prevalence of hospitalization; Responsiveness, health service needs and utilization. Results The beneficiaries of NCMS in Henan Province generally expressed their support for the NCMS and the accessibility of farmer health services to Henan Province. However, they still needed to be improved. The implementation of NCMS, to a certain extent, released the services of farmers participating in health services Demand, but the economic needs of farmers in poor health services, the use of suppressed phenomenon is still more serious. Outpatient clinics in village clinics, townships, towns, streets, community health centers and county-level hospitals are the main options for participating farmers. Hospital treatment is the preferred county-level hospital. Conclusions Government departments should strengthen the construction of rural tertiary medical network, put in place operational and strong policies, and make rural grassroots hospitals play a greater role through policy support and capital investment so that rural medical resources can be maximized.