中国健康扶贫效果评价研究:来自832个脱贫县和"三区三州"的证据OA北大核心CSTPCD

Objective To evaluate the effects of health poverty alleviation in China and provide data support for the implementation of China's rural revitalization strategy.Method According to the National Statistical Survey Data on Health Resources and Medical Services from 2009 to 2021,this paper analyzed the changes of health resources,income of medical healthcare institutions,healthcare utilization and medical burden of residents in 832 counties lifted out of poverty and from"three regions and three prefectures"before and after implementation of the health poverty alleviation policy using the method of interrupted time series.Results After implementation of the health poverty alleviation policy,the growth rate of health technical personnel,practicing(assistant)physicians,registered nurses,equipment over CNY 10,000,total income and fiscal appropriation income of medical institutions increased significantly.And the growth rate of medical expense per visit in the 832 counties lifted out of poverty and"three regions and three prefectures".In parallel,the growth rate of the total number of outpatient visits and the number of discharged patients in the counties lifted out of poverty decreased.However,the number of discharged patients in"three regions and three prefectures"increased.Conclusions After implementation of the health poverty alleviation,healthcare systems in areas lifted out of poverty have been effectively strengthened,the healthcare utilization has been improved,the medical burden of residents has been relieved,and the accessibility of medical services has been remarkably improved.It is suggested to maintain the stability of the policy and bridge the rural revitalization and Healthy China Initiative,focusing on measures to tackle the insufficient health human resources in areas lifted out of poverty.