宁夏两个新型农村合作医疗试点县的现况调查对比分析_临床医学论文.docVIP

宁夏两个新型农村合作医疗试点县的现况调查对比分析_临床医学论文 宁夏两个新型农村合作医疗试点县的现况调查对比分析_临床医学论文 作者：周运生，郭忠琴，金晶，雷娟，马小芳 【摘要】 　　目的 调查宁夏新型农村合作医疗试点县——贺兰、同心县乡级卫生机构医疗资源，了解当地农民生活消费水平以及医疗费用支出情况，为开展建立新型农村合作医疗制度提供科学依据。方法 采用分层整群抽样的方法，在同心、贺兰两县根据经济状况随机抽取3个乡镇，每个乡镇再随机抽取3个村，每个村抽取50户作为研究对象。结果 同心县农业人口占全县人口的77％，贫困人口占15％，文盲/半文盲占35.3％，农民人均收入为1709元；贺兰县农业人口占全县人口的75％，贫困人口占7.3％，文盲/半文盲占16.3％，农民人均收入为3533.89元；农民年均收入较低，96%的农民认为有开展合作医疗的必要。结论 两县在经济状况、人均收入、医疗保健支出存在差别，应探索在同心和贺兰两县建立两种不同的补偿模式，减轻农民的疾病经济负担。 【关键词】 合作医疗；贺兰；同心；宁夏 　　Abstract:Objective To investigate the status of health care institutions and medical resources in .Helan county and Tongxin County and to provide a scientific basis for new rural cooperative medicare. Methods With stratified cluster sampling method, 3 towns were randomly taken in each county and 3 villages were taken in each town and 50 households were taken in each village. Results In Tongxin County, the agricultural population accounted for 77% of the total population, poverty population accounted for 15% of the total population And illiteracy / semi illiteracy accounted for 33.03%. In this county, the per capita income of farmers was 1,709 yuan. In Helan County, the agricultural population accounted for 75% of the total population, poverty population accounted for 1.7% of the total population And illiteracy / semi illiteracy accounted for 18.07%. In this county, the per capita income of farmers was 3533.89 yuan. Conclusion Two pilot counties showed difference in the status of economy, per capita income, health care expenditures. Two different models of compensation in two counties should be established for solving the economic burden of health problems. 　　Key words: cooperative medical；Helan County；Tongxin County；Ningxia 新型农村合作医疗制度是由政府组织、引导、支持，农民自愿参加，个人、集体和政府多方筹资，以大病统筹为主的农民医疗互助共济制度。合作医疗是中国农村社会保障制度的重要组成部分，是搞好农村工作的关键，也是当前农村工作的重点。本研究旨在通过对宁夏贺兰县和同心县实施新型合作医疗进行基线调查，提出在宁夏同心县与贺兰县开展合作医疗具有主观和客观的可行性，为完善宁夏新型农村合作医疗制度提供政策性建议。 　　1 资料方法 　　1.1 调查方法 　　2007年，通过两县卫生部门的配合，取得了两县相关的基本情况数据。按照分层整群随机抽样的原则，由经过培训的调查员在同心、贺兰两县根据经济状况呈好