[秘鲁医学毕业生在农村和城市边缘地区服务的医疗保险覆盖不足]

[Poor coverage insurance in medical graduates for the service rural and urban-marginal in Peru].

作者信息

Mejia Christian R, Quiñones-Laveriano Dante M, Espinoza Klaudia G, Quezada-Osoria Claudia

机构信息

Asociación Médica de Investigación y Servicios en Salud, Lima, Perú

出版信息

Rev Peru Med Exp Salud Publica. 2013 Apr;30(2):220-3.

PMID:23949505

Abstract

The aim of this study was to meet the health insurance coverage received by recent graduates of universities in Lima during the Service Rural and Urban-Marginal in Health (SERUMS) during 2012-2013. 290 physicians were included. Data of the physicians' insurance to the social health Insurance (EsSalud) were reviewed monthly. 6.6% of physicians had been activated his insurance at the end of the third month of the beginning of his service. Differences between physicians who worked for the Ministry of Health (p<0.01), by gender (p=0.03) and if the locale was considered extremely poor (p=0.02) were found. We conclude that there is an deficient insurance coverage for the physicians who realize primary health care during the SERUMS exercise.

摘要

本研究的目的是了解2012 - 2013年利马各大学近期毕业生在城乡边缘地区医疗卫生服务（SERUMS）期间所获得的健康保险覆盖情况。共纳入290名医生。每月审查医生参加社会医疗保险（EsSalud）的数据。6.6%的医生在开始服务的第三个月末激活了保险。发现为卫生部工作的医生之间存在差异（p<0.01），按性别存在差异（p = 0.03），若考虑当地极为贫困也存在差异（p = 0.02）。我们得出结论，在SERUMS活动期间提供初级卫生保健的医生的保险覆盖不足。