健康扶贫工作存在问题讨论及对策探讨王琼[摘要] 因病致贫、因病返贫位居全部致贫原因首位，成为当前脱贫工作的难点。本文以河南省信阳市两县调研结果为例，介绍地方实施健康扶贫的主要措施。同时，比较普通人群和贫困人口的健康保障服务、因病支出补偿等方面差距，剖析现有健康扶贫工作中事后补偿措施带来的问题，分析贫困人口自我进展能力不足的原因和对扶贫工作效果的影响，并就健康扶贫可持续进展提出几点建议：完善健康扶贫相关政策措施，建立预警机制;建立多方筹资的大病保险制度，减缓地方财政和医保资金的压力;明确贫困人口自身在健康扶贫中的责任与义务;建立脱贫小组，加强社区引导和组织支持。[关键词] 健康扶贫;因病致贫;医保补偿;贫困人口;事后补偿[中图分类号] R19 [文献标识码] A [文章编号] 1673-7210（2025）07（c）-0193-05Research on the existing problems and discussion on countermeasures of poverty alleviation by healthWANG QiongCenter of Administrators Training， the National Health Commission of the People′s Republic of China， Beijing 100024， China[Abstract] Poverty and return to poverty due to illness ranks first among all causes of poverty， which has become the difficulty of the current work of poverty alleviation. This article takes the survey results of two counties in Xinyang City， He′nan Province as an example， to introduce the main measures to implement local poverty alleviation. At the same time， it compares the gaps between the health protection services of the general population and the poor， the compensation for disease expenditure， while dissects the problems caused by the measures of compensation after event in the existing health poverty alleviation work， and analyzes the causes of the poor people′s insufficient self-development ability and the impacts the effects on poverty alleviation. In addition， puts forward a few suggestions on the sustainable development of poverty alleviation： improve health-related ...
