Evaluation On Implement Effect Of Hangzhou Charity Medical Aid

Background:Nowadays is the key period to perform the medicine-health system reform,"costly in seeing a doctor and difficult in seeking medical care" become the most concerned social issue. Low-income and Destitute Families are the vulnerable groups of society, which severely restrict their medical ability, leading to "poverty reinstatement due to illness" and " poverty due to illness" and" illness due to poverty’ Solving those people’s medical problem is the major point to the government of Hangzhou city, which to build a harmonious society.To meet to the demand, in accordance with the model of " a team, two brands, two service", the3rd people’s hospital of Hangzhou became charity hospitals in September,2003,Objective To deepen understanding of Hangzhou charity medical aid model development, exploring the charity hospital internal operation mechanism, realizing the charity hospital sustainable development; continuing to dig latent capacity, which leading to benefit the poor mostly. At the same time, the government can get relevant research data which further improving the difficulties in Medicaid long-term mechanism and putting forward the feasible proposal, for government decision-making, ultimately achieve true social benefiting waste not, really not false purpose.Methods Hangzhou city low-income and destitute families and Hangzhou charity hospitals are the object of study. By taking literature research and sending questionnaires to understand the prevalence, medical condition, medicaid status, economic sources of those families. To conducting on-site investigation to Hangzhou charity hospital, which lead to understanding the patient medical fee waiver and arrears situation.Results1, Hangzhou charity patient are mostly the aged, poor literacy, the main source of income of which is residents and government subsidies, which have poor life quality and lower the health level. Although the current low deduction,97.7%of were satisfied to Hangzhou charity hospital services.2, To the end of2010Hangzhou charity hospitals providing diagnosis and treatment of charity206394person-time, reducting of the total amount of8520thousand Yuan. Charity outpatients are meeting the cost of85.36Yuan, the average patient is125.78Yuan,40.42Yuan lower charity; average cost is4928.60Yuan, the average patient7746.65Yuan,2818.05Yuan lower.3, Randomly selected30hospitalized patients in each category as study group, another30served as a control group, taking average in hospital costs, patient remission and charity average costs in analyze, which has significant statistical results(t<0.05)4, The hospital overall moving case is good, business income, emergency visits and discharges steady growth. By regulating medical behavior to reduce medical costs, launching a series of human services initiatives, accomplishing " fees discount, the service do not discount", the social benefiting hospital had achieve good social benefits, in2008won the first honor of " the Hangzhou most brand", hospital reputation and credibility was further improved.Conclusion Hangzhou charity medical aid model effectively solves the problem of the low-income and destitute families basic medical security problems, reduced the medical cost, reduce the burden. Hangzhou charity medical aid model can not only solve the current" costly in seeing a doctor and difficult in seeking medical care ", but also lessen the tense doctor-patient relationship, which has provided the very good example for reference, and worthy of popularization and application. Increasing charity hospital propaganda, further increasing the scope and strength of charity medical relief, grading management, multi-party financing, to establish a long-term mechanism, which ensures that the charity medical aid lasted for a long time, could benefit the people truly.