摘要
妇幼保健保偿制是中国卫生部门的一项创举,已得到国内外学术界的好评。本文报告了在云南贫困农村地区进行的保偿制现场调查研究的部分结果:①保偿制保证了贫困农村地区最基本的妇幼保健服务。②贫困家庭的妇女较少利用保偿制提供的服务。本项研究表明,在农村社区应特别关注贫困妇女的健康服务,增加她们对现有保健服务的利用,以保证服务的公平性。
In the last decade,major changes have occurred in the financing of health services in rural China. In response to these changes, some areas have instituted experimental insurance schemes to finance reproductive health preventive services. The MCH Prepay Scheme has been exhaustively promoted as a long term strategy to enhance MCH care. To further understand the scheme, a rather comprehensive study was undertaken. This paper reports some findings from the study: 1. The scheme does stimulate grassroots MCH personnel providing services more actively,thereby enhancing the elementary MCH services in poor rural areas. 2. Women from poorer households utilize the prepaid services less. The authors suggest that particular attention should be paid to reduce the inequality in utilizing the prepaid services.
出处
《中国初级卫生保健》
1997年第9期60-62,共3页
Chinese Primary Health Care
