摘要
目的了解我国社会大众口腔医疗费用支付情况,分析不同社会大众口腔医疗费用支付特点,提出对策建议。方法设计社会大众口腔医疗费用支付状况调查问卷,采用分层抽样调查的方法,在全国15省(市)共确定42个区县调查点,每个调查点调查50人,由经过统一培训的调查员进行现场一对一的调查,回收合格的问卷全部采用Visual foxpro6.0进行数据录入,使用统计软件SPSS16.0进行数据分析。结果共发放问卷2100份,回收有效问卷1752份,问卷合格率为83.43%。其中男性占47.66%,女性占52.34%。在所有被调查者中,一年内的口腔就诊率为43.2%;口腔医疗费用需要自付的,18~26岁组为36.9%,27~40岁组为42.3%,41岁及以上组为50.8%,不同年龄组人群之间的差异有统计学意义(P=0.000);认为自己享有的口腔医疗保障程度不足的,男性为33.5%,女性为37.1%,不同性别人群之间的差异有统计学意义(P=0.002);认为解决口腔医疗支付负担的最好办法是购买商业医疗保险的,区为41.2%,县为38.9%,不同地区人群的差异有统计学意义(P=0.015)。结论发现社会大众口腔疾病就诊率不高,享有的口腔医疗保障程度不足,口腔医疗费用普遍需要自付。
Objective To understand the situation of oral health care payment for social public.Analysising the feature of oral health care payment for people who have different feature.Putting forward the countermeasure and suggestions.Methods We designed the questionnaire survey about dental expenses payment,42 survey sites in 15 provinces/cities have been chosen for the survey.There were 50 respondents per site which were chosen by means of stratified sampling survey.Investigators who were take part in a unified training before survey conduct this survey by one-on-one.We used Visual foxpro6.0 to input the data,and SPSS16.0 to analyze qualified questionnaire.Results There were 2010 respondents took part in our survey and 1752 survey questionnaire were adopted.Questionnaire percent of pass is 83.43%.There are 835 male and 917 female in this survey,account for47.66% and 59.19% respectively.In all respondents,the rate of oral treatment is 43.2% within one year;The proportion of pay themselves on oral medical expenses,18~26 years old is 36.9%,27~40 years old is 42.3% and 41and 41years old is 50.8%,Different proportion among different age groups,and this difference is a statistical significance(P0.05).The proportion of thinking themselves have inadequate oral medical security,man is 33.5%,women is 37.1%,Different proportion of between different gender groups,and this difference is a statistical significance(P0.05).The proportion of thinking the best way of solve oral medical payment burden is to buy commercial medical insurance,people of city is 41.2%,county is 38.9%,Different proportion of between different areas,and this difference is a statistical significance(P0.05).Conclusion Founding the rate of social public oral treatment is not high,There is a high proportion of oral health care costs that need to pay themselves,the social public enjoy oral medical security level is insufficient.
出处
《现代口腔医学杂志》
CAS
CSCD
2013年第1期35-39,共5页
Journal of Modern Stomatology
关键词
口腔医疗
口腔医疗费用支付
商业口腔医疗保险
Oral health Oral medical expenses payment Commercial oral medical insurance