弱势群体医疗救助实施效果评估——基于“城乡困难家庭社会政策支持系统建设项目”调查数据的分析
发布时间：2018-11-10 23:31
【摘要】：基于2015年"中国城乡困难家庭社会政策支持系统建设项目"的调查数据,本文对接受医疗救助家庭的基本特征及其对医疗救助的满意度、重特大疾病医疗救助满意度及其影响因素进行了分析,结果发现困难家庭遭受疾病风险高,抗疾病风险能力弱,医疗救助水平总体偏低,大病家庭受助有限,但大部分城乡困难家庭认为医疗救助作用较大,满意度高,医疗卫生服务对提高医疗救助的满意度正向作用显著;进一步通过对受助困难家庭对重特大疾病医疗救助满意度的分析,发现困难家庭对重特大疾病救助满意度不及医疗救助满意度,重特大疾病救助在涵盖病种、救助标准、审核手续、费用结算方面均有较大的可提升的空间。本文为此提出的建议是:实施精准救助和早干预措施,对于不同家庭的不同医疗需求,实施分类救助;同时要突出重点,加强大病救助;推进分级诊疗,普及基本医疗卫生服务。
[Abstract]:Based on the survey data of the "Construction Project of Social Policy support system for Rural and Urban families in China" in 2015, this paper discusses the basic characteristics of families receiving medical assistance and their satisfaction with medical assistance. The degree of satisfaction of medical assistance for serious and serious diseases and its influencing factors were analyzed. The results showed that families in difficult families suffered from high risk of disease, weak ability to resist disease risk, low level of medical assistance, and limited assistance to seriously ill families. However, most families in urban and rural areas think that medical assistance plays a greater role and satisfaction is higher. The positive effect of medical and health services on improving the satisfaction of medical assistance is significant. Further, through the analysis of the degree of satisfaction of the families in need of assistance to the medical assistance for serious and serious diseases, it is found that the satisfaction degree of the families with severe and severe diseases is less than that of the medical assistance, and that the relief for the serious and severe diseases covers all kinds of diseases and the standard of assistance. Audit procedures, fee settlement aspects have a greater room for promotion. The suggestions in this paper are as follows: to carry out precision assistance and early intervention, to implement classified assistance for different families' different medical needs, to stress the key points and to strengthen the assistance for serious illness; Promote hierarchical diagnosis and treatment and popularize basic medical and health services.
【作者单位】： 南京大学政府管理学院社会保障系;
【基金】：国家社科基金重大项目“社会服务管理体制改革与社会管理创新”(12&ZD063)的成果
【分类号】：R197.1;D669.6
本文编号：2323880
[Abstract]:Based on the survey data of the "Construction Project of Social Policy support system for Rural and Urban families in China" in 2015, this paper discusses the basic characteristics of families receiving medical assistance and their satisfaction with medical assistance. The degree of satisfaction of medical assistance for serious and serious diseases and its influencing factors were analyzed. The results showed that families in difficult families suffered from high risk of disease, weak ability to resist disease risk, low level of medical assistance, and limited assistance to seriously ill families. However, most families in urban and rural areas think that medical assistance plays a greater role and satisfaction is higher. The positive effect of medical and health services on improving the satisfaction of medical assistance is significant. Further, through the analysis of the degree of satisfaction of the families in need of assistance to the medical assistance for serious and serious diseases, it is found that the satisfaction degree of the families with severe and severe diseases is less than that of the medical assistance, and that the relief for the serious and severe diseases covers all kinds of diseases and the standard of assistance. Audit procedures, fee settlement aspects have a greater room for promotion. The suggestions in this paper are as follows: to carry out precision assistance and early intervention, to implement classified assistance for different families' different medical needs, to stress the key points and to strengthen the assistance for serious illness; Promote hierarchical diagnosis and treatment and popularize basic medical and health services.
【作者单位】： 南京大学政府管理学院社会保障系;
【基金】：国家社科基金重大项目“社会服务管理体制改革与社会管理创新”(12&ZD063)的成果
【分类号】：R197.1;D669.6
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