摘要
因病致贫、因病返贫位居全部致贫原因首位,成为当前脱贫工作的难点。本文以河南省信阳市两县调研结果为例,介绍地方实施健康扶贫的主要措施。同时,比较普通人群和贫困人口的健康保障服务、因病支出补偿等方面差距,剖析现有健康扶贫工作中事后补偿措施带来的问题,分析贫困人口自我发展能力不足的原因和对扶贫工作效果的影响,并就健康扶贫可持续发展提出几点建议:完善健康扶贫相关政策措施,建立预警机制;建立多方筹资的大病保险制度,减缓地方财政和医保资金的压力;明确贫困人口自身在健康扶贫中的责任与义务;建立脱贫小组,加强社区引导和组织支持。
Poverty and return to poverty due to illness ranks first among all causes of poverty,which has become the difficulty of the current work of poverty alleviation.This article takes the survey results of two counties in Xinyang City,He′nan Province as an example,to introduce the main measures to implement local poverty alleviation.At the same time,it compares the gaps between the health protection services of the general population and the poor,the compensation for disease expenditure,while dissects the problems caused by the measures of compensation after event in the existing health poverty alleviation work,and analyzes the causes of the poor people′s insufficient self-development ability and the impacts the effects on poverty alleviation.In addition,puts forward a few suggestions on the sustainable development of poverty alleviation:improve health-related poverty alleviation policies and measures and establish an early warning mechanism;establish a multi-funded critical illness insurance system to ease the pressure of local finance and medical insurance funds;clarify the responsibilities and obligations of the poor in health poverty alleviation;establish poverty relief groups,strengthen community guidance and organization stand by.
作者
王琼
WANG Qiong(Center of Administrators Training,the National Health Commission of the People′s Republic of China,Beijing100024,China)
出处
《中国医药导报》
CAS
2020年第21期193-196,F0003,共5页
China Medical Herald
关键词
健康扶贫
因病致贫
医保补偿
贫困人口
事后补偿
Poverty alleviation by health
Poverty due to illness
Medical insurance compensation
Poor people
Compensation after event
作者简介
王琼(1973.9-),女,博士,副研究员;研究方向:卫生管理、青少年健康、妇幼健康。
