对重庆市渝北区三社区老年人医疗保障状况的实证调查，反映出农村老年人的医疗保障制度存在着保障程度较低，保障范围较窄，农村老年人看病难﹑看病贵的问题。并且部分社区基层卫生服务机构缺失，进一步加大了农村老年人看病就医与医疗资源稀缺的矛盾。交通不便也在一定程度上增大了农村老年人就医的成本。为此，应该从以下几方面完善农村老年人医疗保障：一是设立农村老年人定期免费或部分资助的体检制度；二是为农村家庭养老提供社会支持；三是加强农村基本公共卫生服务建设；四是加大农村地区公共医疗卫生服务力度，定期送医下乡；五是完善农村医疗保险制度，逐步提高农村居民门诊医药费的年度报销比例，加强基层医疗卫生服务，并设立针对农村老年人特种疾病的专项救助基金。%Survey of elderly health care in three communities in Yubei district in Chongqing shows that several problems exist in rural elderly health care system, such as a lower level of protection, a smaller scope of protection, difficulties in access to health care in rural areas for the elderly, and expensive health care costs etc. Scarcity of local health care services in some communities worsens the conflict between the health care need of the rural elderly and shortage of health care services. Poor traffic also increases costs for the rural elderly to go to hospitals. Accordingly, the following suggestions have been put forward: Firstly, establishing periodical free or partially subsidized medical examination for rural elderly;Secondly, providing social support for family support of rural elderly;Thirdly, perfecting basic health care facilities in rural areas;Fourthly, promoting health care service in rural places and sending medical staff there periodically;Fifthly, improving medical insurance system for rural citizens, improving ratio of medical costs reimbursement for these elderly, and setting up a specialized fund for those elderly to cure serious diseases.
展开▼
