北京市外来务工人员医疗服务需求及利用调查 |
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引用本文: | 郭蕊,;李胜伟,;龙俊睿,;刘谷凝,;常文虎.北京市外来务工人员医疗服务需求及利用调查[J].医学与社会,2014(8):38-41. |
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作者姓名: | 郭蕊 ;李胜伟 ;龙俊睿 ;刘谷凝 ;常文虎 |
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作者单位: | [1]首都医科大学卫生管理与教育学院、首都卫生管理与政策研究基地,北京100069; [2]北京市属高校教师发展研修基地(中国人民大学),北京100069 |
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基金项目: | 北京市哲学社会科学“十二五”规划项目青年项目“北京市外来务工人员卫生服务利用现状与发展对策研究”,编号为11SHC021. |
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摘 要: | 目的:了解北京市外来务工人员医疗服务需求、利用现状及影响因素.方法:采用多阶段分层整群抽样方法选取北京市外来务工人员比较集中的7个区县作为调查地点进行问卷调查,采用构成比x2检验和Logistic回归对数据进行分析.结果:被调查的在京外来务工人员两周患病率(13.9%)、两周就诊率(7.1%)和年住院率(4.9%)较低,两周应就诊未就诊率(48.9%)和年应住院未住院率(35.5%)较高.平均每天累计工作时间、有无医保和自评总体健康状况(P均<0.01)是影响在京外来务工人员医疗服务利用的主要因素.结论:制约外来务工人员医疗服务利用的主要障碍可以归纳为制度、卫生服务体系、经济社会和个人因素4个方面.
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关 键 词: | 医疗服务利用 外来务工人员 影响因素 |
Research on the Demand and Utilization of the Health Service of Migrate Workers in Beijing |
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Institution: | Guo Rui et al( School of Health Management and Education, Capital Medical University, Belting, 100069) |
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Abstract: | Objective:To investigate the influencing factors of the migrate workers' demand for health service and utilization, and put forth policy suggestion. Methods:The multistage stratified was taken to survey on the floating population from seven district where most dense popula- tion of floating people live there in Beijing. Among them a questionnaire survey was conducted and the collection data were analyzed by Percent- age, Chi -square and Logistic regression analysis. Results:Two -week morbidity rate (13.9%), visiting rate (7.1% ) and hospitalization rate per year (4.9%) of those subjects were lower. Non - visiting rate (48.9%) and non - hospitalization rate per year ( 35.5% ) were higher. Total working hours per day, insurance and self - rated health ( p 〈 0.01 ) were the main factors that affect the utilization of health service. Conclu- sion:The main obstacles in health services utilization of migrate workers can be summarized as institution, health care system, economic, social and personal. |
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Keywords: | Utilization of Health Service Migrate Worker Influencing Factor |
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