广州市农村流动人口卫生服务需求与利用分析.pdfVIP

PreyM~，April 2006,Vol 32,No．2 华南预防医学20O6年4月第32卷第2期 China J— — · 论著· 广州市农村流动人口卫生服务需求与 利用分析 凌莉，刘军，韩璐，唐广心，方积乾 【摘要】 目的 了解广州市农村流动人口卫生服务需求、利用现状及其影响因素。方法 采用 整群抽样方法，从广州市建筑、制鞋、环卫、餐饮服务四个行业各抽取300名户籍不在广州市有组织依 托的农村流动人员，利用统一调查表调查其健康及卫生服务利用等情况。结果 共调查1 193名广 州市农村流动人员，其平均每月现金收入为723．7元，其中有医疗保障者的比例仅为32．O％。被调查 者的两周患病率、两周就诊率分别为78． 、54．5％。；过去一年住院率与应住院而未住院率分别为 15．1‰与28．O％；平均每次就诊直接医疗费用为98．1元，平均每次住院费用为2471．7元。多因素分 析结果显示，年龄、职业、健康状况、每天工作时间、患病后有无资助与照顾是影响农村流动人口患病 后是否就诊的主要因素。结论 广州市农村流动人口对卫生服务购买能力低，医疗保障水平及卫生 服务利用水平低，其卫生服务需求没有得到满足。 【关键词】流动人口；卫生服务；流行病学因素 中图分类号：R19 文献标识码：A 文章编号：1671—5039(2006)02—0001—04 Ikaramd and utiliT~don for health service in n∞血lg population in GI·粕g 0Il dry LING厶，LIU Jun ， HAN ， a1．School ofPublic Health，Sun Yat-sen University，Q加 『上510080，China 【Abstract】Objective To explorethedemand and utilizationfor health serviceinfloating population and related factors in Guangzhou city．Methods Floating population~amole was selected from business of re~tau- rant，construction，sanitation and shoemaking by duster sampling．Questionnaire developed by MOH and schools of public healthof Beij吨 and SunYat—senUniversityWaS usedtointerviewthe subjects．R刚 ts 1 193 sub— jects offloating population were interviewed．Average income in a month was 723．7 RMB and onJy 32．O％of them held medical insutmac~．Disease prevalence and attendances rate in the past two weeks were 78．伪 and 54．5％o respectively．Hospitalization rate was 15．1％o and the pereemage of failing to hospitalization for the pa— tients who should be hospitalized was 28．O％ in the past year．The average direct medical cost for each ompaaem clinic was 98．1 RMB and for each hospitalization was 2 471．7 RMB．Age，occupa[]on，health condition，working hours and economic level were main fa~om that affected the utilizafion for health service．Concl