摘要
目的探讨沿海经济发达城市(广州)与内陆欠发达城市(贵阳)中年人群医疗保障与生存质量状况。方法采用生存质量量表(SF-36)及自编调查表,运用描述性分析t、检验、方差分析、χ2检验。结果中年人群有医疗保障比例为38.8%,无医疗保障比例为23%,两个地区的医疗付费方式构成不同,差异有统计学意义(P<0.05);中年人群参加医疗保险的比例为52.0%;不同医疗保障形式的中年人群生存质量差异有统计学意义(P<0.05),且存在地区间的差异(P<0.05)。结论中年人群有医疗保障的比例并不高,无医疗保障占调查人群的1/5,且只有一半的人群参加了医疗保险;医疗保障有可能影响中年人群的生存质量,且存在地区间差别,改善和保障中年人群的医疗保障,可能影响其生存质量。
Objective To explore the relation of health care service and quality of life （QOL） of the middle aged population in the coastal developed city （Guangzhou） and inland underdeveloped city （Guiyang） in China. Methods Data were collected with the QOL scale SF - 36 and a self - developed questionnaire, and then they were processed by descriptive analysis, t test, ANOVA, and Chi - square test. Results Among the samples of middle - aged population in our study, the proportion of those with formal health care service was 38.8%, and the proportion of those without formal health care service was 23%. The format of payment for health care service in these two regions was different, and showed statistically significant （P 〈 0.05）. Furthermore, there were only 52.0% of the middle aged population benefited from health insurance, and the QOL of the people who had different health care service format was statistically different （P 〈 0.05） and the difference caused by regional discrepancy was statistically significant （P〈 0. 05） too. Conclusion The proportion of middle aged formal health care service beneficiary remains low, and about one fifth of people do not benefit from formal health service in this study. Only half of the population has joined health insurance. Therefore health service may have potential influence on the QOL of middle- aged population, and there are likely contributed to regional discrepancy. The improvement of health service quality and health insurance might be helpful in promoting the QOL of middle - aged population.
出处
《实用预防医学》
CAS
2007年第2期319-321,共3页
Practical Preventive Medicine
基金
广东省卫生厅课题"中年知识分子健康及卫生服务需求研究"(项目编号:A2002250)
