摘要
目的:了解参加与未参加劳务工医疗保险的劳务工卫生服务需求和利用的不同,为推动劳务工医疗保险制度的健康发展提供依据。方法:采用整群随机抽样的方法,分别对深圳市2080名参加与2554名未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)参保人员两周患病率为25.53%,未参保人员两周患病率为22.24%;(2)参保人员两周患病就诊率为20.10%,未参保人员两周患病率为15.47%;(3)参保人员住院率为3.56%,未参保人员住院率为3.05%;(4)参保人员两周患病就诊单位主要是社康中心(42.44%)和街道医院(22.69%),未参保人员主要是个体诊所(32.45%)和社康中心(23.40%);(5)参保人员次均住院费用、间接费用分别为2723.4、837.7,未参保人员分别为1890.5、665.6。结论:参保人员两周患病率、两周患病就诊率均高于未参保人员;卫生服务可及性差;一些医疗机构存在诱导现象;参保病人流向较为合理。
Objectives Through learning about the differences of demands and utilization of health service between labor workers who participated in medical insurance and who did not, to supply some references for healthy development of labor workers medical insurance system. Methods With the cluster randomly sampling method, we surveyed 2080 labor workers who participated in medical insurance and 2554 labor workers who did not with the questionnaire about demands and utilization of health service. Results The two - week prevalence rate for labor workers who parlicipated in medical insurance was 25.35%, for labor workers who did not 22.24%. The rate of visiting a doctor within two- week for labor workers who participated in medical insurance was 20.10%, for labor workers who did not 15.47%. The rate of hospitalization for labor workers who participated in medical insurance was 3.56%, for labor workers who did not 3.05%. The main hospitals that labor workers who participated in medical insurance chose were social health center （42.44%） and street hospital （22.69%）. The main hospitals that labor workers who did not participate in medical insurance chose were private clinic （32.45%） and social health center （23.40%）. The average hospitalization expense per time and indirect expense for labor workers who participated in medical insurance were 2723.4RMB and 837.7RMB, for labor workers who did not 1890.5RMB and 665.6RMB, respectively. Conclusions The two - week prevalence rate and the rate of visiting a doctor within two - week for labor workers who participated in medical insurance were higher than those for labor workers who did not. The accessibility of health service was poor. Some medical institutions induced patients＇ consumption to some degree. The flow of patient visits who participated in medical insurance was rational.
出处
《中国卫生事业管理》
2007年第4期250-253,共4页
Chinese Health Service Management
关键词
劳务工
需求
利用
比较
Labor workers Demand Utilization Comparison
