CAJ | 학술논문

　　目的：了解农村家庭对孕产妇死亡直接费用选择的应对策略，为针对这部分家庭有效开展扶贫工作提供依据。方法：从2009年6月至2010年10月对河北、河南和云南省农村地区共195户死亡孕产妇家庭进行入户调查。文章调查了死亡孕产妇及其家庭的一般情况，孕产妇死亡后家庭选择的应对措施以及各措施所能支付直接费用的比例。结果：各有73.3%的家庭选择向亲友借款和接受亲友接济，44.1%的家庭获得医院赔偿。未获赔偿的家庭主要通过向亲友借款、动用现金与存款以及接受亲友接济分别支付直接费用的64.3%、18.3%和8.2%，来自新农合报销/住院分娩补助,以及各项政府救助仅可补贴直接费用的5.8%和0.5%。结论：孕产妇死亡后家庭采取了以获取医院赔偿、向亲友借款为主要资金来源的应对策略，提示政府扶贫工作应关注这部分家庭。
　　목적：료해농촌가정대잉산부사망직접비용선택적응대책략，위침대저부분가정유효개전부빈공작제공의거。방법：종2009년6월지2010년10월대하북、하남화운남성농촌지구공195호사망잉산부가정진행입호조사。문장조사료사망잉산부급기가정적일반정황，잉산부사망후가정선택적응대조시이급각조시소능지부직접비용적비례。결과：각유73.3%적가정선택향친우차관화접수친우접제，44.1%적가정획득의원배상。미획배상적가정주요통과향친우차관、동용현금여존관이급접수친우접제분별지부직접비용적64.3%、18.3%화8.2%，래자신농합보소/주원분면보조,이급각항정부구조부가보첩직접비용적5.8%화0.5%。결론：잉산부사망후가정채취료이획취의원배상、향친우차관위주요자금래원적응대책략，제시정부부빈공작응관주저부분가정。
Objective: To explore the coping strategy of experiencing maternal mortality for rural households, to provide valuable information for poverty alleviation to these households. Methods: Interviews were conducted between June 2009 to October 2010, with the sample of 195 households with maternal death in rural areas of Hebei, Henan, and Yunnan province. Data were collected by using interviewer-administered questionnaires after informed consent were made. Information of demographic characteristics of the women and their households, of which measures they took to cope with the high costs, and how much of the money could be covered by each measure. Results: Borrowing and accepting gifts from relatives and friends were the most frequently used measures of the households (both 73.3%) . 44.1%of the households obtained hospital compensations. Other households with no compensations covered 64.3%of the costs by borrowing from relatives and friends, 18.3% by mobilizing available cash or savings, and 8.2% by accepting gifts from relatives or friends. Money from medical insurance reimbursement and government cash assistance only covered 5.8% and 0.5% of the direct costs. Conclusion: Households adopted obtaining hospital compensation and borrowing from relatives and friends as major sources of money to offset direct costs, which indicate that attentions from government should be taken on these households.