摘要
目的了解北京市流动人口的卫生服务需求、利用现状及其影响因素,并提出政策建议。方法采用多阶段随机抽样方法,从北京市流动人口最多的一个区中选取3个流动人口聚集乡镇,从流动人口聚集村、工地和集市抽取流动人口共1 239人进行问卷调查。数据分析主要采用χ2检验和Logistic回归分析。结果被调查流动人口的两周患病率、两周就诊率、应就诊而未就诊率分别为13.08%、9.85%、42.73%;年住院率与平均住院日分别为5.89%与8.54 d;门诊次均费用为313.97元,平均每次住院费用为2 947.00元。多因素分析结果显示,家庭月收入、有无医保、年龄是影响流动人口日常患病后是否就诊的主要因素(P<0.05)。结论应探索建立适合流动人口需求的医疗保障体系,降低医疗费用,通过社区管理人员加强流动人口的健康知识宣教,合理引导其有效利用社区卫生服务。
Objective To investigate the status of the floating population′s demand for health service and utilization,as well as the influencing factors in Beijing;and put forth policy suggestions. Methods The multistage stratified sampling was taken to recruit 1 239 subjects of floating population from three towns of a district where most dense population of floating people live there in Beijing.Among them a questionnaire survey was conducted and the collected data were analyzed by Chi-Square and Logistic regression analysis. Results Two-week morbidity rate,visiting rate,and non-visiting rate of those subjects who needed to visit were 13.08%,9.85% and 42.73% respectively.Hospitalization rate per year was 5.89% and the average of hospitalized days was 8.54.The average medical cost for each outpatient was RMB 313.97 Yuan and the average cost for each time of hospitalization was RMB 2 947.00 Yuan.Multivariate statistical analysis showed that average monthly family income,insurance and age were the main factors that affected the utilization of health services（P0.05）. Conclusion It is necessary to establish a medical insurance system suitable for the floating population′s demands,reduce the health care costs,enhance the health knowledge education for the floating population through community administrators and lead them to utilize the community health services reasonably.
出处
《中国全科医学》
CAS
CSCD
北大核心
2011年第4期373-376,共4页
Chinese General Practice
关键词
流动人口
卫生服务需求
影响因素
Floating population
Health services needs and demand
Influencing factors
