深圳市参加医疗保险的劳务工卫生服务需求、利用及影响因素研究

目的：了解参加劳务工医疗保险的劳务工卫生服务需求、利用水平及影响因素和参保意原。方法：采取整群随机抽样的方法，对深圳市2080名参加劳务工医疗保险的劳务工卫生服务需求、利用等进行问卷调查。结果：（1）调查人口两周患病率为25.53％，高于全国水平，两周患病以常见、多发病为主，不同年龄、文化程度和职业有显著性差异；（2）在两周患者中，找医生治疗、自我治疗和未治疗者分别为42．37％、34.09％、23.54％，就诊单位主要是社康中心（42.44％）和街道医院（22．69％），其原因主要是方便（40．52％）、病情需要（21．55％）、价格适宜（19．83％）；（3）两周患病未就诊率高（57．63％），主要原因是可及性差、自感病轻、经济困难等；（4）85．94％的劳务工愿意参保，但完全了解医保政策的仅为1．60％。结论：参保劳务工卫生服务需求大，利用水平还有待提高，病人流向较为合理；卫生服务可及性、经济困难和疾病严重程度是影响利用的重要因素；劳务工参保意愿强烈，医保政策宣传力度不足。

Study of Demands, Utilization and Influential Factors of Health Service for Labor Workers Who Participated in Medical Insurance in Shenzhen

Objectives To learning about demands,utilization,and influential factors of health service and willingness of participating in medical insurance for labor workers who participated in medical insurance.Methods With the cluster randomly sampling method,we surveyed 2080 labor workers who participated in medical insurance with the questionnaire about demands and utilization of health service.Results The two-week prevalence rate was 25.35%,which was higher than national average level.The most of diseases were common diseases.The two-week prevalence rates were different by age,educational level and occupation.Among the surveyed who suffered from the disease,the rates of visiting a doctor,treatment by themselves and without treatment were 42.37%,34.09% and 23.54%,respectively.The main visited hospitals were social health center(42.44%) and street hospital(22.69%).The main reasons were convenient(40.52%),need of disease condition(21.55%),and proportional price(19.83%).The rate of without visiting a doctor was high that was 57.63%.The main reasons were poor accessibility,slight diseases,and poverty.The 85.94% surveyed were willing to participate in medical insurance.However,only 1.60% of them learned well about medical insurance policy.Conclusions The demands on health service for labor workers who participated in medical insurance were great and their utilization level need improvement.The flow of patient visits was rational.The accessibility of health service,poverty and disease condition were important factors that influence utilization of health service.The willingness of participating in medical insurance was strong.The policy of medical insurance was not publicized well.