【摘要】：基于2015年"中國城鄉(xiāng)困難家庭社會政策支持系統(tǒng)建設(shè)項目"的調(diào)查數(shù)據(jù),本文對接受醫(yī)療救助家庭的基本特征及其對醫(yī)療救助的滿意度、重特大疾病醫(yī)療救助滿意度及其影響因素進(jìn)行了分析,結(jié)果發(fā)現(xiàn)困難家庭遭受疾病風(fēng)險高,抗疾病風(fēng)險能力弱,醫(yī)療救助水平總體偏低,大病家庭受助有限,但大部分城鄉(xiāng)困難家庭認(rèn)為醫(yī)療救助作用較大,滿意度高,醫(yī)療衛(wèi)生服務(wù)對提高醫(yī)療救助的滿意度正向作用顯著;進(jìn)一步通過對受助困難家庭對重特大疾病醫(yī)療救助滿意度的分析,發(fā)現(xiàn)困難家庭對重特大疾病救助滿意度不及醫(yī)療救助滿意度,重特大疾病救助在涵蓋病種、救助標(biāo)準(zhǔn)、審核手續(xù)、費用結(jié)算方面均有較大的可提升的空間。本文為此提出的建議是:實施精準(zhǔn)救助和早干預(yù)措施,對于不同家庭的不同醫(yī)療需求,實施分類救助;同時要突出重點,加強大病救助;推進(jìn)分級診療,普及基本醫(yī)療衛(wèi)生服務(wù)。
[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.
【作者單位】： 南京大學(xué)政府管理學(xué)院社會保障系;
【基金】：國家社科基金重大項目“社會服務(wù)管理體制改革與社會管理創(chuàng)新”(12&ZD063)的成果
【分類號】：R197.1;D669.6

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