Research On The Behavior Of Poor Households Seeking Medical Treatment In Health Poverty Alleviation

As an important part of the targeted poverty alleviation strategy,the healthy poverty alleviation is the key process to realize the rural population’s full separation from poverty by 2020 and healthy China strategy.At present,there are generally poor health environment in rural areas of our country,and the level of medical resources is relatively backward compared with the city.Most of the farmers have low awareness of disease prevention and health,and are vulnerable to serious diseases,resulting in poverty.The implementation of the health poverty alleviation policy not only provides the corresponding medical security for the poor households,but also affects the poor households’ medical behaviors.The research on the medical treatment behavior of the poor households in the health poverty alleviation can effectively reflect the shortcomings of the current health poverty alleviation work,and then put forward the corresponding improvement measures,which is of great practical significance for the overall realization of the goal of health poverty alleviation.The behavior of seeking medical treatment refers to the behavior that residents take all kinds of relevant medical service decisions and treatment methods for their own diseases and discomfort when they suffer from a certain disease or feel sick.Specifically speaking,the medical treatment behavior should include the following aspects: first,the medical treatment behavior adopted by the residents after their illness;second,the timing of medical treatment chosen by the residents after they feel ill;third,the times of medical treatment needed by the residents after their illness;fourth,the selection of medical institutions by the residents after their illness.The medical behaviors of poor households often reflect their health awareness,attitude towards disease,ability to resist disease risk,and treatment effect of disease.Based on the theory of moral hazard and the theory of consumer behavior,this paper uses the methods of investigation and case analysis to study the medical behaviors of poor households in A county of H Province.In the process of investigation and interview,it is found that there are some problems in the medical behaviors of the local poor households,such as "minor illness and major medical treatment","multiple treatment for one disease,long-term treatment","long delay in treatment" and "giving up continuous treatment for serious illness".From the perspective of poverty-stricken households,medical institutions and Health Poverty Alleviation Policies,this paper analyzes the underlying causes of the problems: first,poverty-stricken households themselves have moral hazard,lack of health awareness and lack of economic income source;second,some medical institutions also have moral hazard,and grass-roots medical institutions lack good medical resources;third,Health Poverty Alleviation Policies for the level of medical security for common diseases is too high,while the level of medical security for serious diseases in other places is too low,and the goal concept of health poverty alleviation deviates.In order to effectively solve the problems of poor households’ medical behaviors in health poverty alleviation,enable poor households can afford to see doctors and cure diseases,realize the goal of health poverty alleviation as soon as possible,it is suggested to put forward relevant suggestions and countermeasures from three aspects of Health Poverty Alleviation Policies,poor households and medical institutions.First,we will improve the relevant policies for poverty alleviation through health care,reasonably optimize the medical security system for poverty alleviation through health care,increase the proportion of reimbursement for medical expenses for serious diseases in other places,and establish a medical information system to solve the problem of information asymmetry.The second is to guide the poor households and cultivate their moral education and health awareness,so as to improve their sustainable livelihood.Third,we should strengthen the management of medical providers,effectively promote the construction of hierarchical diagnosis and treatment system,strengthen the supervision and restriction of them,and increase the support to basic medical institutions.