深圳市流动人口社区卫生服务供给与保障研究

目的了解深圳市流动人口的社区卫生服务需求、利用与供给情况,探讨适合于流动人口的社区卫生服务有效提供模式及健康保障机制.方法将定量研究与定性研究相结合,在分析研究近年来国内外流动人口卫生服务的基础上,进一步通过对流动人口分层抽样,调查深圳市流动人口的卫生服务需求、利用及社区卫生服务提供的现状.结果流动人口在社区卫生服务利用中处于弱势地位,需求较高,而利用较低.流动人口的两周患病率为19.1%,41.4%不知道社康中心,87.6%不知道社康中心联系电话.7.7%在社康中心建立健康档案,1.5%与社康中心签订了保健合同.结论应积极转变观念,强化政府行为,以需方为导向,探索适合于流动人口的社区卫生服务模式.

Study of the Supply and Guarantee of Community Health Services for Mobile Population in Shenzhen City:Introduction

Objective To investigate the health service demand,supply and utilization in floating population of Shenzhen city and explore a suitable service model and health safeguard mechanism.Methods Based upon research established worldwide about health services for mobile population, in this survey, stratified sampling of mobile population in Shenzhen city was conducted, from which the information about the health service demand, utilization and current situation of community health services was collected, afterward, the analysis was processed both quantitively and qualitatively. Results In weak position was the current situation of the mobile population in the utilization of community health services, the utilization is low despite of the high demand by these people. Two-week prevalence rate was high as 19.1%; as many as 41.4% mobile population had no idea about "centers of community health services"; even more(87.6%) don't remember CHS's phone number, out of 7.7% of mobile population who establish their health files in CHSs, only 1.5% had contracted officially. Conclusion Efforts will be concentrated on updating people's idea, enhancing the government management, all efforts and services being oriented to the floating population's actual demands, so as to establish an appropriate CHS mode.