Analysis of basic medical insurance and disease burden of the disabled people under the background of health poverty alleviation
10.3969/j.issn.1006-2483.2021.01.004
- VernacularTitle:健康扶贫背景下残疾人基本医疗保险与疾病负担分析
- Author:
Miao CHEN
1
;
Zhengning FENG
2
;
Qiyu HUANG
2
;
Chaoqin JI
3
;
Wei FAN
2
;
Qingxia WANG
2
;
Zihan CHEN
2
;
Ting CHEN
2
,
4
Author Information
1. Xiangyang Center for Disease Control and Prevention, Xiangyang, Hubei 441000, China
2. School of Public Health, Medical college, Wuhan University of Science and Technology, Wuhan 430065, China
3. Chinese Center for Disease Control and Prevention, Beijing 102206, China
4. Hubei Key Laboratory of Occupational Disease Hazard Identification and Control, Wuhan 430065, China
- Publication Type:Journal Article
- Keywords:
Health poverty alleviation;
Disabled people;
Medical insurance;
Burden of disease
- From:
Journal of Public Health and Preventive Medicine
2020;32(1):14-17
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the problems of health poverty faced by a special group of people with disabilities and the difficulties in the practice of health poverty alleviation, so as to provide a scientific basis for the health poverty alleviation of the disabled. Methods A self-made questionnaire was used for one-to-one survey, and a database was established by Excel. SPSS was used for descriptive analysis and horizontal comparison. Results The participation rate of basic medical insurance for the disabled was relatively high (93.40%), and the medical insurance payment was mainly paid by individuals (70.13%). The satisfaction of medical insurance was low (43.12%), and 84.64% of the disabled thought that their medical expenses were high. 45.22% of the families of disabled patients met the universal standard of catastrophic health expenditure. Compared with Shandong Province, the basic medical insurance coverage rate of the disabled in Hubei Province was slightly lower, the satisfaction rate of medical insurance was higher, and the proportion of catastrophic health expenditure of families was larger. The analysis of the results showed that the disabled people with a lower disability level, children and middle-aged with disabilities, the disabled people with less or more family members, and the disabled people without the minimum living subsistence allowances were not satisfied with the medical insurance. Conclusion The basic medical insurance in the two places has alleviated the difficulty of medical treatment for the disabled to a certain extent, but the family burden of diseases of the disabled was still heavy. The level of medical security for people with disabilities should be improved, and their economic burden of disease should be reduced, so as to improve the satisfaction of medical insurance.
