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目的
探讨贫困地区医护人员对精准健康扶贫政策的知晓率情况以及对知晓率影响因素分析。方法 在文献分析和专家讨论基础上设计调查问卷，开展现场调查。利用SPSS19.0软件对数据进行统计分析。结果 仅有26.0%医护人员表示对目前健康扶贫及相关政策较为了解，但有近40%的人对其当前的精准健康扶贫政策感到不满意。logistic回归分析结果显示，“所在医院是否有上级医院帮扶”“所在医院是否帮扶下级乡镇卫生院”“所在医院对长期服务基层的员工是否有优惠政策倾斜”3个因素对医护人员精准健康扶贫政策满意度水平认知有影响。结论 医护人员对精准健康扶贫政策认知度和满意度尚有提高的空间。从供给方角度出发，从医院方面出发，完善上下级帮扶政策、建立紧密型县乡村一体化健康扶贫结构；创新管理模式，为长期服务基层的员工提供优惠政策倾斜，是提高精准健康扶贫效果的可行选择。 |
| 关键词: 供给侧结构性改革 精准扶贫 健康扶贫 政策 认知 |
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| Cognitive Analysis of Medical Precise Health Policy for Poverty Alleviation in Poverty Regions |
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| Abstract: |
| Objective To deal with the awareness rate of medical precise health care policy of the medical care workers in poverty-stricken areas and the influencing factors of the awareness rate. Methods The questionnaire was designed following literature analysis and expert discussion, and field investigation. Statistical analysis and logistic regression analysis were performed using SPSS 19.0. Results Only 26.0% of medical workers exprssed that they were aware of current health poverty alleviation and related policies, while nearly 40% were not satisfied with current precision health and poverty alleviation policy. Logistic regression analysis indicated that three factors on health care personnel have an impact on the level of awareness of precision health and poverty alleviation policies,"whether the hospital has aquired help from a superior hospital", "where the hospital gives help to junior hospitals" and "where the hospital has preferential policies tilt for employees serving primarily for a long time". Conclusion The awareness and satisfaction on precision health poverty alleviation policy of medical staff at the public county-level hospitals remains to be improved. From the supply side point of view, establishing close county-level rural health and poverty alleviation structure from the hospital and supportive policy of leader-member,innovativing management mode ,as well as providing preferential policies tilt for employees serving primarily for a long time are viable options for targeted and healthy poverty alleviation. |
| Key words: supply-side structural reform,precise poverty alleviation, healthy poverty alleviation,policy,cognition |
