摘要
目的通过对青海省农村未成年人大病的保障现况的调查，探索农村未成年人大病保障制度的依据。方法通过定量调查，获取青海省新型农村合作医疗制度中未成年人大病患者医疗费用和补偿情况，了解青海省农村未成年患者大病医疗的现状以及疾病负担；通过对2所医院相关疾病专家进行深入访谈，了解青海省农村未成年人大病的治疗现状、未成年人大病的成本费用等情况。结果青海省农村地区未成年人所享有的医疗保障主要为新型农村合作医疗制度，该制度的补偿水平仅为26％～35％，未成年患者家庭经济负担沉重，未成年患者因经济原因放弃治疗现象严重。同时，由于仅省会的2所医院能提供专业治疗，农村地区未成年患者就诊的直接非医疗负担沉重。结论建立未成年患者大病医疗保障制度势在必行。同时，应加强青海省未成年患者重大疾病医学中心的建设，提高医疗机构的诊断和治疗水平，通过医疗服务机构和医疗保险制度的共同发展，保障大病少儿病有所医。
Objective To investigate the status quo of the assurance and subsidy for severe diseases acquired by juvenile in rural areas in Qinghai, and provide evidences for building a subsidy system for such population. Methods Quantitative surveys were made to collect data on medical expenses and the compensation practice for such expenses for severe diseases of juvenile in the area, for a knowledge of the present medication and disease load in question; specialists in two hospitals were interviewed to learn the present treatments for such a population, and their expenditures in case of such diseases. Results Juveniles in rural Qinghai rely on the new rural cooperative medical scheme, under which however the reimbursement rate was only 26%-35%. Families with juvenile patients of severe diseases were found to suffer heavy burdens. As a result, a high percentage of the patients give up treatment. To make things worse, as only two hospitals in the provincial capital city can provide professional treatment for children with severe diseases, rural children have to pay heavy indirect costs other than medication such as heavy travel expenses. Conclusion It is critical to build a medical assurance system for juvenile with severe diseases. It is also imperative to build and strengthen the capacity of medical centers for such a population in Qinghai, and upgrade the diagnosis and treatment competence of local health providers, ensuring adequate medical resources for juvenile with severe diseases upon joint development of both healthcare providers and the medical insurance system
出处
《中华医院管理杂志》
北大核心
2011年第2期90-94,共5页
Chinese Journal of Hospital Administration
基金
青海省卫生厅项目（QHWST-2009-KT01）
关键词
未成年患者
大病
医疗保障
Juvenile patients
Severe disease
Health coverage
