首页|贵州省医疗救助受助人群政策感知及保障情况的质性研究

贵州省医疗救助受助人群政策感知及保障情况的质性研究

A Qualitative Study on Policy Perception and Protection among Medical Assistance Recipients in Guizhou Province

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目的:了解贵州省医疗救助受助人群对医疗救助政策的感知及政策保障情况,为完善医疗救助政策提供参考.方法:于2022 年12 月-2023 年 2 月,采用电话访谈方式对不同身份的贵州省医疗救助受助人进行半结构式访谈,运用内容分析法并使用MAXQDA 22 软件对访谈文本资料进行编码分析.结果:15 位访谈对象中,有10 位(66.7%)面临疾病负担重及家庭经济条件差的双重压力;访谈对象政策感知程度较低;有9 位访谈对象(60.0%)表示经医保报销后自费医疗费用仍然较高,且超出家庭承受范围;有 11 位访谈对象(73.3%)对医疗救助/基本医疗保险的总体评价较好,但存在需进一步改善的空间.结论:贵州省医疗救助受助人群在拓展灵活救助方式、辐射式宣传提高政策感知、加强监督管理等方面具有较高需求.建议医疗救助以家庭或个人长期生活改善为目标,针对有就业能力的患者提供更灵活的就业岗位;同时,以学校和社区为中心加强辐射式政策宣传,鼓励并监督医药机构使用更具经济性的药品或诊疗措施,加强对医疗救助受助人群自愿缴费的心理建设.
Objective:To explore the perception of medical assistance policies and the policy protection status among recipi-ents in Guizhou Province,so as to provide insights for improving medical assistance policies.Methods:From December 2022 to February 2023,semi-structured telephone interviews were conducted with medical assistance recipients of varying backgrounds.The transcribed texts were analyzed using content analysis with MAXQDA 22 software.Results:Among the 15 interviewees,10(66.7%)faced dual pressures of significant disease burden and poor economic conditions.The perception of medical assistance pol-icies was generally low for those interviewees.Nine respondents(60.0%)reported that out-of-pocket expenses after insurance re-imbursement were still high,exceeding their family's financial capacity.Despite this,11 respondents(73.3%)gave a positive o-verall evaluation of the medical assistance and basic medical insurance system,though they indicated there was room for enhance-ment.Conclusion:Medical assistance recipients in Guizhou Province have strong needs for more flexible assistance options,better policy awareness through expanded promotion,and enhanced supervision and management.It is recommended that medical assis-tance focus on long-term family or personal improvement,offer flexible employment opportunities for recipients with work capacity,and strengthening policy promotion through schools and communities.Additionally,medical institutions should be encouraged and supervised to use more cost-effective drugs and treatments,while promoting voluntary contributions from recipients.

Medical AssistancePolicy PerceptionPolicy ProtectionGuizhou

张露、伍红艳、郝兴敏、刘均、易磊、罗琴婵

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贵州医科大学公共卫生与健康学院,环境污染与疾病监控教育部重点实验室,贵州 贵阳,561113

贵州医科大学医药卫生管理学院,贵州 贵阳,561113

贵州省医疗保障局待遇保障处,贵州 贵阳,561113

医疗救助 政策感知 政策保障 贵州

2024

医学与社会
华中科技大学同济医学院

医学与社会

CSTPCDCHSSCD北大核心
影响因子:1.178
ISSN:1006-5563
年,卷(期):2024.37(12)