女性尿毒症患者医疗服务需求与制度供给水平的评估性研究—基于福建省福州市的数据观察
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福建医科大学

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国家社科基金青年项目(城镇化进程中女性生活方式变迁研究)


An evaluation on the demand for medical services and the level of institutional supply of female uremic patients —Based on data observation in Fuzhou
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Fujian Medical University

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    摘要:

    摘 要:本文以福州市参保女性尿毒症患者为研究对象,以门诊、住院、血透、药品、医疗总费用等年度费用为起点,经验测量女性尿毒症患者的医疗需求,并以国家、省、市三级政策为切入点,结合女性尿毒症患者年度医疗总费用和自付比重情况,评估制度对需求满足程度、公平效度。研究认为,女性尿毒症患者医疗需求大,疾病负担较重;相关制度能及时、有效应对其需求,但也存在限度,女性尿毒症患者医疗资源可及性和公平性受损。对此,需要在完善制度的具体实践中从政策理念、政策扶持、性别融入等加以考虑。

    Abstract:

    This article takes the female uremic patients in Fuzhou City as the research object,Examine the medical needs of female uremia patients with the annual costs of outpatient, hospitalization, hemodialysis, drugs, medical care; Considering the annual total medical expenses and out-of-pocket proportion of female uremia patients, Assess the system's ability to respond to needs, satisfaction level, fair validity of National, provincial and municipal policies. It is suggests that the medical needs of female uremia patients are great, and the disease burden is heavy; Relevant systems can respond to their needs in a timely and effective manner, but there are limits, and the availability and fairness of medical resources for female uremia patients are impaired. Therefore, this study proposes that the system concept, policy support, women's federation integration and other should be considered in the strategic practice.

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  • 收稿日期:2018-09-11
  • 最后修改日期:2018-11-28
  • 录用日期:2019-09-04
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