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1、·66·中国社会医学杂志2014年2月第31卷第1期暋ChineseJournalofSocialMedicine,2014,Vol.31,No.1广州市贫困人口医疗救助现状分析李国全1,2,暋林爱华1,暋邹礼民2暰摘要暱暋目的暋对广州市贫困人口医疗救助现状进行分析,为完善广州市医疗救助政策提供参考。方法暋采用分层分类抽样方式,从广州市贫困人口中抽取408户贫困家庭进行问卷调查,实际有效样本为307户;并对20名广州市医疗救助管理部门有关工作人员进行访谈。结果暋广州市医疗救助的人次和金额呈不断上升趋势,人均救助医疗费用1141元/年·
2、人,资助社会医疗保险费用132元/年·人;个人负担比例的人次均值和中位值在10%~21%之间,且呈逐年下降趋势;贫困人口中89.9%的人参加了医疗保险,通过与广州市第四次卫生服务调查城市普通居民参保情况比较,两人群的参保率差异有统计学意义(氈2=2194.84P<0.001);贫困人口政策知晓度为48.8%,获知政策的渠道中,比例最高的是通过街道工作人员获取的,达47.9%。结论暋广州市医疗救助提高了贫困人口医疗保障水平,降低了贫困人口的医疗负担,但需进一步提高救助金使用率、贫困人口参保率和政策知晓度;在政策知晓度的提高方面,基层工作
3、人员这种面对面、一对一的宣传方式能较快地引起贫困人群的注意,比较适合贫困人口的人群特征。暰关键词暱暋贫困人口;暋医疗救助暰中图分类号暱暋R197.1暋暋暰文献标识码暱暋A暋暋DOI:10灡3969/j灡issn灡1673灢5625灡2014灡01灡025AnalysisandSuggestionsonMedicalAssistanceforthePoorinGuangzhouLIGuoquan,LINAihua.ZOULimin.CollegeofPublicHealth,SunYat灢SenUniversity,Guangzhou,
4、510080,China.暰Abstract暱暋Objectives暋ToanalyzethemedicalassistanceforthepoorinGuangzhou,inordertoprovidereferencesforimprovingrelatingpolicies.Methods暋408poorhouseholdsinGuangzhouwereselectedbystratifiedsamplingandasurveywasconductedamongthemwithquestionnaire.The307househ
5、oldsresponded.Wealsointerviewed20stuffsfrommedicalassistanceadministrationdepartmentsinGuangzhou.Results暋Financeformedical灢aidandpeo灢plereceivingmedical灢aidwereincreasing.Themedicalassistancefeewas1141yuanpercapita,themedicalinsur灢ancesubsidy132yuanpercapita.Theaveragea
6、ndmedianofpersonalburdenpervisitwerebetween10%~21%andbothdecreasedannually.About89.9%ofthepoorwerecoveredwithmedicalinsurance.ComparedwiththefourthhealthservicessurveyontheinsurancecoverageofresidentsinGuangzhou,thedifferenceinmedicalcoverage2wasstatisticallysignificant
7、.(氈=2194.84,P<0.001)Theawarenessrateofthepolicywas48.8%.Sub灢districtofficersgotthehighestrate(47.9%).Conclusions暋WiththemedicalassistanceinGuangzhou,thepoorhadbettermedicareandlowerburden.Butthemedicalfundsneedtobeutilizedmorethoroughly.Morepoorpeopleshouldbecoveredbyme
8、dicalinsuranceandacknowledgerelatingpolices.Grassrootsworkers'wayofpropagatingpoliciesfacetofacecoulddrawatten
