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目的:评价武陟县贫困农民医疗救助的实施效果。方法:通过医疗救助覆盖率、基金筹集和使用情况以及救助对象受益情况等,比较中国农村卫生发展项目(卫Ⅺ)实施前后武陟县医疗救助实施情况。结果:从2006年到2010年,医疗救助覆盖率从2.70%增加到4.17%,基金总量从89.25万元增加到559.30万元,救助对象人均救助额从54.57元增加到206.03元。次均住院救助费用从2007年的1 360.51元下降到2010年的895.74元。结论:贫困农民医疗救助的可及性和公平性得到改善,但医疗救助保障水平还较低,应建立多元化的筹资机制,逐步提高医疗救助保障水平。
Objective: To evaluate the effect of medical aid to poor farmers in Wuxian County. Methods: To compare the implementation of medical aid in Wudai County before and after the implementation of the China Rural Health Development Project (Wei Ⅺ) through coverage of medical assistance, fund raising and utilization, and the beneficiaries of assistance. Results: From 2006 to 2010, coverage rate of medical aid increased from 2.70% to 4.17%. The total amount of funds increased from 892,500 yuan to 5.5930 million yuan, and the per capita relief assistance amount increased from 54.57 yuan to 206.03 yuan. The average cost of hospitalization fell from 1,360.51 yuan in 2007 to 895.74 yuan in 2010. Conclusion: The accessibility and fairness of medical aid to poor peasants have been improved, but the level of medical assistance is still low. A diversified funding mechanism should be established to gradually improve the level of medical aid support.