摘要
农村贫困地区的医疗保健问题，为多方瞩目的难点，为了探索解决途径，自１９９４年起，专题组对全国１３个省区的３０个贫困县开展全面调查，并建立了农村贫困地区医疗服务需求模型，选择了影响其医疗服务需求的因素，确定价格、收入、每千人全年患病人次数、人均防保费、医疗机构数、离卫生机构距离、育龄妇女、６５岁以上人口等作为医疗需求的变量，经研究，对医疗服务需求影响最大的是价格、收入和防保费投入等。所以，提高医疗价格，不仅减少医疗机构收入，还会抑制农民医疗需求。因而，贫困地区的医疗服务价格调整要慎重。为保证贫困农村居民基本医疗，个人、集体、政府的筹资有重要意义，尤其增加一个单位的防保费，可使千人减少约１４４次门。
Themedicalandhealthprobleminpoorruralareashasbeenahotpointofpublicatten-tion.Toremedythetrouble,anal-roundinvestigationhasbeencariedoutin30poorcountiesof13provincesandregionsbyastudygroupsince1994.Amodelofmedicalserviceneedsinpoorruralareasisbuilt.Factorsafectingthemedicalserviceneedsareselected.Commodityprices,personalincome,theyearlyincidenceofdiseasesperthousandpersons,theaveragepreventivehealthsubsidyperperson,andthedistancestothemedicalunits.Throughstudies,itisfoundthatthemostinfluentialfactorsaf-fectingtheserviceneedsarecommodityprices,personalincomeandtheinputofpreventivehealthsub-sidy.Theincreaseofmedicalcostnotonlycausestherevenueofthemedicalunitstodrop,butalsode-pressesthemedicalneedsofthepeasants.Thesefore,theriseofmedicalcostinpoorruralareasmustbecarefulycontroled.Toinsurethesatisfactionofthebasicneedsoftheinhabitantsinpoorareas,raisingmoneythroughindividuale,groupsandthegovernmentisofimportance.Toincreasethepre-ventivehealthsubsidyofaunitmaycutdownabout144outpatientvisits(includingemergencyones)perthousandpersons.
出处
《中华医院管理杂志》
北大核心
1996年第11期672-674,共3页
Chinese Journal of Hospital Administration
关键词
贫困农村
医疗服务
需求模型
Countryside,PoorService,MedicalNeedsModel
