摘要
健康扶贫是我国脱贫攻坚战的关键。尽管以"351"和"180"为主要内容的健康扶贫举措在各贫困地区都得到较为充分的实施,但也出现一些的值得高度重视的倾向与问题。其中主要包括:"高度保障"诱发道德风险行为;"工程思维"隐伏可持续性担忧;"费用分摊"存在公平利益冲突;"重标轻本"制约效果体验提升;"过多展示"滋生心理文化失衡。针对上述问题特提出以下五点建议:制定贫困人口医疗救助监管办法;将健康扶贫纳入常规医疗卫生体系;设立贫困人口医疗救助专项基金;制定因病致贫系统防控实施方案;培育积极和谐的健康扶贫心理文化。
Health poverty alleviation was a key to the battle of poverty alleviation in China. The ＂351＂ and ＂180＂ policy had been fully implemented in many poverty stricken areas. However, there were some tendencies and problems that deserve great attention, including ＂high degree of protection＂ induced moral hazard behavior; ＂engineering thinking＂ concealed sustainability concerns; ＂cost sharing＂ had equal interest conflicts; the effect of ＂re-marking and light weight＂ had been promoted; ＂excessive display＂ bred psychological and cultural imbalances. It proposed to formulate measures of medical assistance supervision for poverty population, incorporate health poverty alleviation into the routine health care system, set up a special medical assistance fund for poverty population, formulate the prevention and control plans for poverty caused by diseases, cultivate positive and harmonious psychological culture.
作者
谢毛毛
沈兴蓉
卢曼曼
王德斌
XIE Mao-mao;SHEN Xing-rong;LU Man-man(School of Health Management,Anhui Medical University,Hefei,230032,Chin)
出处
《中国卫生经济》
北大核心
2018年第8期29-31,共3页
Chinese Health Economics
基金
国家自然科学基金项目(71774002)
关键词
健康扶贫
贫困人口
潜在风险
对策
health poverty alleviation
poverty population
potential risk
strategies
