摘要
[目的]通过对参加新型农村合作医疗农民门诊服务利用的调查,为制定合理的门诊补偿比例提供依据。[方法]采用分层整群抽样的方法,对3个新农合试点县的3373户共计13 468人进行了两周患病就诊情况调查。[结果]两周患病率为8.8%,低于第三次国家卫生服务调查农村平均水平(13.95%)。两周患病就诊率为12.72%,略低于第三次国家卫生服务调查农村平均水平(13.92%)。就诊的主要机构为村卫生室、个体诊所、乡镇卫生院;未就诊比例为21.3%,明显低于第三次国家卫生服务调查农村平均水平(45.8%);未就诊的主要原因是自己买药(75.8%)。非条件Logistic回归分析显示,影响两周患病就诊的因素为:家庭人口数、年龄、性别、是否患有慢性病、是否实施家庭账户。[结论]加强乡村卫生人员的培训和卫生资源的投入,扶持个体医疗机构,加强药品价格控制和药品销售的管理,为新农合的参合农民提供质优价廉的卫生服务。
Objective： To offer the evidence to formulate the measure of the rational complement proportion on out-patient clinic expenses by investigating the service utility of rural clinics under New Rural Cooperative Medical System （NRCMS）. Methods： Applying the approach of Stratified Cluster Sample to investigate the situation of sickness rate of two-week and seeking health rate of two-week among 13468 persons of 3373 households in three pilot counties operating NRCMS. Results： The two-week＇s sickness rate and the two-week＇s seeking health are 12.72%is 8.8% respectively, less than the average level of 13.95% and 13.92% in rural areas （data from The 3^rd National Health Service Survey）. The agencies sought are village clinics, private clinics and township health center. The rate of no-seeking health reaches 21.3%, significantly lower than the rural average rate of 45.8% in the 3^rd National Health Service Survey; and self purchasing medication contributes to it on the major, with the rate of 75.8%. The findings of non-conditional Logistic regression analysis show that the following factors influence the rate of two-week＇s seeking health： population number of the household, age, sex, the situation whether suffering chronic diseases or not, and the situation whether owning household account or not. Conclusion： To strengthen training for the rural health staff and increase investment on rural health source, encourage and support private health agencies, and strengthen the control on drug＇s price and the management of medication sales to provide the excellent but cheap health service for the rural people attending the NRCMS,
出处
《卫生软科学》
2006年第2期84-86,共3页
Soft Science of Health
基金
云南省自然科学基金(2004C0045M)
云南省卫生厅科研基金联合资助
关键词
新型农村合作医疗
门诊就诊率
卫生服务利用
New Rural Cooperative Medical System
the rate of receiving out-patient clinic service
utility of health service.
