我国城市医疗救助对象的卫生服务需求分析

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1、andtheaveragemonthlyincomewas￥332.12;Theemploymentrateofmedicalaidtargetswaslow;Theunemploymentmedicalaidtargetsaccountedfor89.1%;Therelativeeconomicriskofdisease(Y/S)was0.33.Beinginhospitalornotandtheaveragemonthlyincomewerethemainaffectingfactorstotheeco

2、nomicburdenofdiseaseofmedicalaidtargetinurbanChina;Themedicalaidtargetswithoutanymedicalinsuranceaccountedfor74.6%;Thelevelofeducationofmedicalaidtargetwasrelativelylow,andmedicalaidtargetswithonlyjuniorsecondaryeducationlevelandbelowaccountedforover65%.2.

3、ThehealthstatusofmedicalaidtargetinurbanChina:thetwo-weekprevalencerateofdiseaseofmedicalaidtargetinurbanChinawas42.51%,andthemaindiseaseswerechronicnon-communicablediseases;Prevalenceofchronicdiseaseswasmuchhigherthanurbangeneralpopulation,andthehighestra

4、techronicdiseaseswerehypertensionanddiabetes;Theseverityofdiseasewasmuchhigherthanurbangeneralpopulation;ThedisabilityrateofwasmedicalaidtargetinurbanChinarelativelyhigh;Commondiseasesandchronicdiseaseswerethemainhealthproblemsofmedicalaidtarget.3.Theuseof

5、healthservicesofmedicalaidtargetinurbanchina:thetwo-weekconsultationratewas34.9%;Thehospitalizationratewas9.8%;Themainreasonofbeingsicknottoseekmedicaltreatmentwasthataiddoesnotwork;Thetopfivereasonsofaidnottowork:medicalaidamountwastoosmall(theproportioni

6、stoolow);Thediseasewasnotwithinthescopeofaid;Self-advance;Otherreasons;Thepaylinewastoohigh.4.Theevaluationandexpectationofmedicalfinancialassistanceinurbanchinaofmedicalaidtarget:theidealmodelofmedicalaidshouldtakebothsmalldiseasandbigdiseaseintoaccount;T

7、heidealmodelofclinicorhospitalwasaidcardreleasedorhospitaladvance;Out-patientanddiseasenotinthescopeofMFAwasthemainobstacletouseMFA;ThepaylinewashighandtheaccountofMFAwaslittle.4Conclusions1.Designthereasonablemedicalaidprogramme:fromseriousdiseasestochron

8、icdiseasesandcommondiseases,fromhospitaltoclinic,graduallyexpandingthescopeofdiseases;graduallycancelthepayline,improvemedicalaidproportion;takeaidcardreleasedorhospitaladvance;2.Increasegovernmentfunding,and