摘要
目的通过调查和分析伊宁市贫困人口的健康状况及医疗卫生服务需求与利用情况,为伊宁市出台更适宜于贫困人群就医的优惠政策及医保模式提供理论参考。方法于2012年1月采用多阶段随机整群抽样的方法抽取伊宁市4个社区的低保户和普通户各352户,进行入户现场调查和访谈并发放问卷,得到有效问卷620份。结果低保人口两周患病率高于普通人口的两周患病率。两周就诊率明显低于普通人口,年住院率和因经济困难提前出院者的比例高于普通人口。结论低保人口因为经济困难往往疾病得不到及时有效治疗,结果小病拖成大病,形成医疗费用更加昂贵,生活更加困难的局面。扩大医疗保障的服务范围等措施对改变低保人群的医疗现状,节约医疗卫生资源有积极的作用。
OBJECTIVE It investigates and analyzes the situation of medical health care needs and utilization to urban poor residents in Yining, in order to provide theoretical references for Yining to rise preferential policies and mode of medical insurance fit for poor residents. METHODS 352 random eligible urban poor and general residents each from 4 communities were interviewed surveyed and asked to completed questionnaires in cluster in January of 2012 and get a total of 620 valid responses. RESULTS The 2 weeks prevalence rate of eligible urban poor is higher than that of ordinary residents. The rate of visit doctors in 2weeks is much lower than ordinary residents, as well as the annum admission rate, leaving hospital by economic problems of eligible urban poor is higher than ordinary residents. CONCLUSIONS Because of economic difficulties, eligible urban poor often ignore minor illnesses until them become serious and cause a higher medical fee and lead to worse situation in their daily life. Some actions as the expansion of the range of health insurance service could change the reality of eligible urban poor, and have positive effect of saving health care resources.
出处
《中国初级卫生保健》
2014年第2期7-9,共3页
Chinese Primary Health Care
基金
新疆维吾尔自治区高教科研计划(重点项目)"新疆贫困人口医疗保障问题研究"(XJEDU 2013 I19)
关键词
贫困人口
卫生服务需求与利用
伊宁
urban poor resialents
medical service demand and utilization
Yining
