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目的:分析评价四川秦巴卫生项目实施医疗救助制度8年的终期结果。方法:采用分层多级抽样方法对试点县及其样本乡镇和样本村进行调查,分析救助对象的贫困发生率、医疗救助覆盖率、人口受益率和救助资金筹集与使用情况。结果:8个项目县有91个乡镇进行了医疗救助试点,8年累计筹集资金2300多万元,相当于年人均筹资4元;试点乡镇逐年的救助人口覆盖率达到16.79%,累计人口受益率为28.39%,累计资金使用率30.65%;样本乡镇的救助覆盖率、人口受益率和资金使用率与试点乡镇接近。结论:四川秦巴卫生项目实施医疗救助制度具有开创性意义,为建立农村可持续发展的医疗救助制度提供了经验和启示。
OBJECTIVE: To analyze and evaluate the final outcome of the eight-year medical rescue system implemented by the Qinba Health Project in Sichuan Province. Methods: The stratified multistage sampling method was used to investigate the pilot counties and their sample villages and townships and sample villages, and analyzed the incidence of poverty, medical aid coverage rate, population benefit rate and the raising and using of relief funds. Results: A total of 91 villages and towns in 8 project counties were piloted in medical aid. Over the past eight years, more than 23 million yuan of funds were raised, equivalent to an average of 4 yuan per capita. The coverage rate of aid towns in pilot towns reached 16.79% year by year. The accumulated population benefit rate Which is 28.39%, and the accumulated fund utilization rate is 30.65%. The relief coverage rate, population benefit rate and capital utilization rate of the sample townships are close to that of pilot villages and towns. Conclusion: The implementation of the medical aid system in the Qinba health project in Sichuan Province is of pioneering significance and provides experiences and enlightenment for establishing a medical aid system for rural sustainable development.