健康扶贫背景下残疾人就诊行为研究

doi:10.3969/j.issn.1006-9771.2021.10.013

Abstract

Abstract:

Objective To study the behavior of seeking medical care for people with disabilities under the background of Health Poverty Alleviation.Methods Descriptive statistics method was used to analyze the behavior of seeking medical care for people with disabilities based on the data of the National Health Poverty Alleviation Dynamic Management System.Results The Three Batch action plan mainly focuses on contracted services for chronic diseases; the number of visits for people with disabilities gradually increases, the proportion of visits within the county increases, and the proportion of hospitalizations decreases. The hospitals visited are mainly secondary hospitals, township health hospitals and community health service centers, and the medical expenditure is relatively high. These phenomena are different among disability conditions.Conclusion The behavior of people with disabilities was remarkably improved after Health Poverty Alleviation. In the future, we should consolidate the achievements of Health Poverty Alleviation, increase the prevention of chronic diseases for people with disabilities, and further improve the accessibility of medical services and the level of medical security for people with disabilities.

Key words: targeted poverty alleviation, people with disabilities, chronic disease contract signing, behavior of seeking medical care

CLC Number:

SUN Ji-ling,LIU Lan,ZHANG Xin-hui,SUN Jing-jing,ZHANG Ya-lu,ZHANG Lei,CHEN Gong. Behavior of Seeking Medical Care for People with Disabilities within Context of Health Poverty Alleviation Initiatives[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(10): 1218-1224.

Figures/Tables 6

References 24

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残疾状况	2017年	2018年	2019年
非残疾人	84.98	85.33	86.66
残疾类别
视力	1.58	1.60	1.51
听力	0.74	0.79	0.75
言语	0.21	0.21	0.21
肢体	8.17	8.06	7.23
智力	0.92	0.90	0.83
精神	2.66	2.36	2.12
多重	0.74	0.75	0.70
残疾等级
一级	1.91	1.83	1.65
二级	6.12	5.75	5.12
三级	3.74	3.68	3.39
四级	3.25	3.41	3.18

残疾状况	大病集中救治	慢病签约服务	重病兜底保障	其他	合计
非残疾人	22.0	47.0	6.9	24.0	100
残疾类别
视力	20.2	51.0	6.7	22.1	100
听力	21.0	48.8	6.0	24.1	100
言语	19.0	46.6	5.9	28.5	100
肢体	19.2	55.2	6.0	19.6	100
智力	20.4	49.5	6.9	23.3	100
精神	16.2	70.5	4.7	8.6	100
多重	18.1	53.1	6.5	22.3	100
残疾等级
一级	19.7	52.4	6.6	21.3	100
二级	18.4	60.8	5.8	14.9	100
三级	18.4	56.1	5.5	19.9	100
四级	20.0	50.7	6.4	23.0	100

残疾状况	2017年	2018年	2019年
非残疾人	1.59	2.09	2.52
残疾类别
视力	1.73	2.68	3.22
听力	1.52	2.19	2.70
言语	1.42	2.03	2.16
肢体	1.72	2.70	3.43
智力	1.41	1.97	2.37
精神	1.65	2.56	3.13
多重	1.56	2.35	2.74
残疾等级
一级	1.55	2.32	2.78
二级	1.72	2.77	3.46
三级	1.66	2.57	3.20
四级	1.61	2.37	2.95

残疾状况	县域内就诊比例			住院比例
残疾状况	2017年	2018年	2019年	2017年	2018年	2019年
非残疾人	90.4	92.4	92.9	72.9	63.0	50.5
残疾类别
视力	92.9	93.9	94.3	70.1	54.3	40.4
听力	93.8	94.9	94.2	74.8	59.4	46.1
言语	91.1	94.8	95.6	74.7	62.4	52.4
肢体	92.5	94.5	94.8	71.6	53.0	39.0
智力	92.2	93.2	93.8	67.4	62.6	50.1
精神	83.6	83.4	85.3	68.0	55.6	41.8
多重	91.5	92.4	93.3	73.3	56.8	45.2
残疾等级
一级	91.4	92.4	93.1	70.1	58.8	43.9
二级	90.0	91.4	92.1	69.3	51.9	37.7
三级	91.4	93.6	94.1	71.2	54.0	40.8
四级	92.5	93.9	94.5	74.1	58.2	45.4

残疾状况	三级医院	二级医院	一级医院	乡镇卫生医院和社区卫生服务中心	村医务室和药房购药	合计
非残疾人	11.2	35.2	12.0	36.4	5.3	100
残疾类别
视力	10.6	38.9	10.4	35.3	4.8	100
听力	8.5	35.5	12.9	36.7	6.5	100
言语	9.9	34.3	13.3	36.9	5.6	100
肢体	9.7	33.3	11.2	39.6	6.1	100
智力	9.9	32.6	13.7	36.4	7.5	100
精神	14.7	45.2	16.8	19.3	4.0	100
多重	11.6	38.8	12.1	32.7	4.8	100
残疾等级
一级	10.9	39.2	13.4	31.0	5.5	100
二级	11.3	37.6	12.4	33.6	5.3	100
三级	10.1	33.8	12.1	37.8	6.1	100
四级	9.7	34.4	11.6	38.3	6.0	100

Behavior of Seeking Medical Care for People with Disabilities within Context of Health Poverty Alleviation Initiatives

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残疾状况	医疗总支出	个人自付	基本医保	补充保障	社会救助	个人自付比例
非残疾人	7483	787	5894	505	298	10.5%
残疾类别
视力	8343	792	6673	483	394	9.5%
听力	7405	730	5928	458	290	9.9%
言语	7301	755	5965	363	217	10.3%
肢体	9491	946	7550	600	395	10.0%
智力	7616	685	6171	456	305	9.0%
精神	11779	934	9936	426	483	7.9%
多重	8654	797	7118	407	332	9.2%
残疾等级
一级	9329	861	7579	520	369	9.2%
二级	10212	902	8348	536	426	8.8%
三级	8893	878	7127	513	375	9.9%
四级	8717	887	6929	536	364	10.2%

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