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中文摘要: 目的 了解黑龙江省低收入人群的医疗救助政策实施效果，分析医疗救助政策实施过程中存在的问题，以期为医疗救助政策更好地实施提供一定的参考。 方法 采用分层整群抽样的方法，随机抽取低收入人群800人进行问卷调查。 结果 低收入群的健康状况一般，患病率较高；低收入人群的就医负担较重，低收入患者自付费用占总医疗费用的22.39%；低收入人群医疗救助知晓率和满意度有待进一步提升。 结论 医疗救助程序有待进一步简化，多数市县没有承担医疗救助的支出职责，异地就医的医疗救助结算程序繁琐、耗时较长，低收入人群的健康观念有待转变。建议加强医疗救助的信息化建设，强化地方政府的医疗救助资金支付职责，进一步加大政策宣传力度等。
Abstract:OBJECTIVE To understand the implementation effect of medical assistance of low-income group, and to analyze the problems, in order to provide reference for the better implementation of medical assistance policy. METHODS Using stratified cluster sampling method, random selecting 800 low-income persons, and doing questionnaire survey. RESULTS Health situation of low-income group is not very good, with high prevalence rate. The burden of low-income group is relatively heavy, self-payment of low-income group accounts 22.39% of total medical expense. The awareness rate and satisfaction degree of this group need further promotion. CONCLUSION Procedure of medical assistance needs further simplified. Most cities and counties do not undertake the disbursement responsibility of medical assistance. The settlement procedures of hospitalization in other places are tedious and of long time-consuming. Health concept of low-income group needs transferred. It is suggested to strengthen medical assistance information construction, intensify local government medical assistance capacity fund payment responsibility, and increase the publicity of policies, etc.
文章编号：3201902005 中图分类号：R197.323 文献标志码：
基金项目:
| 作者 | 单位 |
| 蔺 刚①，张幸福①，张 鹏①# |
| Author Name | Affiliation |
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