School of Management, University of Chinese Academy of Social Sciences, Beijing, China.
Central University of Finance and Economics, Administrative Management, Beijing, China.
Child Care Health Dev. 2022 Jul;48(4):513-520. doi: 10.1111/cch.12953. Epub 2022 Jan 11.
With government's proposal of the Healthy China Strategy, universal health has become the focus of increasing attention in China. As a special group, children's health is the basis and start of the national health. The construction of children's healthcare system should be given the priority. This study applied the concept of health equal benefits and conducted a systematic and in-depth theoretical and empirical research on the children's healthcare system in Beijing, aiming at proposing relevant countermeasures and suggestions such as constructing the path of children's health care system in China.
This study adopted the way of questionnaire on children's basic information, health status, health service demand, insured situation and system satisfaction and then analysed the children's health, healthcare, satisfaction influence factors and their healthcare needs based on a survey in Beijing China. Methods such as descriptive statistics, analysis of variance and logistic regression are adopted to analyse the correlation between factors affecting children's health.
The findings show that overall health of the children in Beijing was better. However, there are still problems such as insufficient resource coverage and incorrect cognition in some groups. Their mental health and support need to be put emphasis on. The popularization of medical insurance policies for urban and rural residents in Beijing needs to be further improved. The burden of seeing a doctor is slightly lower than before, and the contribution to protecting children's health is not strong enough.
Through the survey of children in Beijing, it can be seen that there are still some problems existing in the healthcare system of children in China from the perspective of equal benefit. This study draws policy attention to the issues of financing, service contents, targets, service level and the degree of social recognition.
随着政府提出“健康中国”战略，全民健康已成为中国日益关注的焦点。儿童作为一个特殊群体，其健康是全民健康的基础和起点，儿童医疗保健体系的建设应得到优先考虑。本研究运用健康公平效益理念，对北京市儿童医疗保健体系进行了系统深入的理论与实证研究，旨在为构建中国儿童医疗保健体系的路径提出相关对策建议。
本研究采用儿童基本信息、健康状况、卫生服务需求、参保情况和制度满意度问卷的方式，对北京市儿童健康、医疗、满意度影响因素及其卫生服务需求进行了调查。采用描述性统计、方差分析和逻辑回归等方法，分析影响儿童健康的因素之间的相关性。
结果显示，北京市儿童总体健康状况较好，但仍存在部分群体资源覆盖不足、认知不正确等问题，需要关注其心理健康和支持需求。北京市城乡居民医疗保险政策的普及有待进一步提高，就诊负担较之前有所降低，但对保护儿童健康的贡献还不够强。
通过对北京市儿童的调查，可以从公平效益的角度看出中国儿童医疗保健体系还存在一些问题。本研究引起了政策制定者对筹资、服务内容、目标、服务水平和社会认可度等问题的关注。
