摘要
目的:了解上海市城市医疗救助的制度内容、取得的成效和存在的问题,为进一步完善城市医疗救助提供政策建议。方法:定性调查和定量调查相结合的方法,访谈了医疗救助工作相关负责人,抽取了救助对象和非救助对象门诊处方各50份,搜集了街道医疗救助数据记录。结果:非医保对象的次均救助水平一直高于医保对象,但是,非医保对象总医药费中自付比例为29.86%,是医保对象自付比例的2.14倍;低收入对象的次均救助水平高于低保对象,但是,低收入对象自付比例为21.00%,几乎是低保对象的2.00倍;普通患者和救助对象门诊处方次均费用分别为65.32元和93.39元,经统计学检验,差异性显著(P<0.01),救助对象次均门诊费用高于普通患者,这主要源于救助对象和非救助对象所患疾病病种和严重程度不同。结论:上海市城市医疗救助功能定位清晰,制度建设完善,有效地降低了救助对象的疾病经济负担。
Objectives This paper is to make a knowledge about the institution, effectiveness and problems of urban medical assistance （UMA） in Shanghai City, and make some policy suggestions to finalize the UMA. Methods the researchers integrated qualitative survey and quantitative survey, made interviews with key chargers, collected data at the street office, In addiction, 50 prescriptions for UMA beneficiaries and non-UMA beneficiaries were sampled respectively, and a comparison was made on medical fees. Results Average beneficial level per time was higher for non-medical insurance beneficiaries than medical insurance beneficiaries. But the proportion out of pocket to the overall fees for the former was 29.86%, which was about 2.14 times as much as the latter. Average beneficial level per time for low income family members was higher than minimum standard of living beneficiaries. But the proportion out of pocket to the overall fees was 21.00% for the former, which was almost 2.00 times as much as the latter. The average outpatient fees per time for general patient and UMA beneficiaries were 65.32 Yuan and 93.39 Yuan respectively, and the differences were statistically evident （P〈0.01） ,but it resulted from the differences in the cases and severity degrees. Conclusions UMA in Shanghai had a clear function setting, consummate institutions design and reduced the economic burden of the beneficiaries.
出处
《中国卫生经济》
2007年第12期73-76,共4页
Chinese Health Economics
基金
中国卫生政策支持项目(HPSP)快速政策开发领域课题"城市医疗救助效果评价"
关键词
上海
城市医疗救助
低收入
最低生活保障
Shanghai, urban medical assistance, low income family, minimum standard of living
