摘要目的:了解因病致贫家庭患儿基本情况及救助实施状况。方法:于2019年3—9月，采用自行设计的调查问卷，通过现场调查及核查的方式，收集"中国儿童健康扶贫计划"首批开展救助试点工作的6省17县建档立卡贫困家庭患病儿童信息，对汇总信息进行描述性分析。结果:共回收问卷312份，患儿年龄中位数为8.54岁。循环系统疾病、神经系统疾病、儿童肿瘤和血液系统疾病为主要导致家庭贫困的常见疾病，医疗费用支付困难是患儿看病的最主要问题。对251名患儿进行分级诊疗判断，其中193名(76.89%)患儿可在省级及以下医疗机构进行收治，43名患儿需要接受慢性病管理，有15名患儿需送往国家儿童医学中心进一步确诊。结论:针对贫困地区患病儿童家庭的帮扶，可在疾病预防宣教、健康扶贫政策相关知识普及、提升基层医疗队伍技术水平及医疗资源合理应用方面进一步开展工作。

abstractsObjective:To investigate the basic information and implementation of medical assistance for children of illness-caused poverty families.Methods:From March through September 2019, a customized questionnaire was used to collect by means of both field survey and on-site verification, the information of the sick children from such families registered on file from 17 counties in 6 provinces. These counties were the first to carry out the assistance pilot work under " Chinese Children Poverty Alleviation by Healthcare Program" . The data so acquired were subject to descriptive analysis.Results:A total of 312 questionnaires were recovered, and the median age of these child patients was 8.54 years. Diseases causing family poverty were mostly those in the circulatory system, nervous system, neoplastic disease of childhood and hematological disease, while unaffordability of medical bills ranked the top challenge when they seek medical services. Hierarchical diagnosis and treatment was made for 251 children: 193(76.89%)of them could be admitted to provincial or lower medical institutions, 43 children needed chronic disease management, and 15 children needed to be admitted by the National Children′s Medical Center for further diagnosis.Conclusions:The assistance for such families in poverty-stricken areas can be upgraded, by such means as disease prevention publicity and education, publicity of healthcare poverty alleviation policy awareness, improvement of medical competency of primary medical institutions and rational application of medical resources.