关键词: 尘肺病, 农民工, 救助资金, 绩效

Abstract: Objective To analyze the performance of basic medical treatment and assistance funds for migrant workers with pneumoconiosis in Hunan Province,thus to provide a basis for government departments to continue to invest special assistance funds for migrant workers with pneumoconiosis in a reasonable manner. Methods The trend of changes in indicators such as the coverage and total number of basic medical treatment and assistance policies for migrant workers with pneumoconiosis in Hunan Province from 2017 to 2022,the proportion of special assistance for migrant workers with pneumoconiosis in medical expenses,the proportion of medical insurance reimbursement,hospitalization medical expenses,and the proportion of self-payment expenses. were analyzed. The utilization efficiency of basic medical special treatment and assistance funds for migrant workers with pneumoconiosis in Hunan Province was summarized,and the countermeasures for existing problems were analyzed and explored. Results Since 2017,the government in Hunan Province had invested 50 million special funds annually to implement medical treatment and assistance for migrant workers suffering from pneumoconiosis. It had been continuously implemented for six years until 2022. Through the three major measures of "Promotion,Reduction,and Assistance",the coverage and total number of patients who enjoyed the basic medical treatment and assistance policies for migrant workers with pneumoconiosis in Hunan Province continued to increase,the proportion of specialized assistance in hospitalization medical expenses were relatively stable,the proportion of patient medical insurance reimbursement were increasing year by year,the average medical expenses were decreasing year by year,and the proportion of patient out of pocket expenses were decreasing year by year. However,there were also three problems. Firstly,the incidence of pneumoconiosis among migrant workers in Hunan Province was still at its peak,the number of people receiving assistance had increased slightly year by year,and a death reporting mechanism had not yet been established. Secondly,the fairness of the use of rescue funds needed to be strengthened,with some patients repeatedly receiving assistance while others did not receive assistance throughout the year. Thirdly,certain limitations in the current policy of limited payment for individual medical insurance types for migrant workers with pneumoconiosis,led to the problem of the more urgent assistance needs of critically ill patients with high medical expenses could not be solved. Conclusion With the strong support of the government,the treatment and rescue work for migrant workers with pneumoconiosis in Hunan Province has achieved significant results,with good treatment outcomes and significant social benefits,achieving the goal of promoting people's health and maintaining social order and stability. However,it is still necessary to analyze and improve the problems that arise during the policy implementation process to maximize the benefits of limited rescue funds for the people.

Key words: Pneumoconiosis, Rural migrant workers, Assistance funds, Achievement