摘要
[目的]了解外来务工人员医疗费用负担及其影响因素,为制定相关卫生经济政策提供现实依据。[方法]对杭州市有关企业、建筑工地等行业的外来务工人员进行了抽样访谈式调查,询问社会人口学特征、经济状况、社会医疗保障状况、病患病情况、疾病费用负担等问题。[结果]被调查者中年人均门诊费用为499.32元,年均自购药费用为180.94元;年住院率6.9%,次均住院费用为2 587.21元。年总医疗费用的多因素分析发现在外打工年限、家庭收入来源、患者文化程度、首选就诊方式及是否住过院等因素都可影响费用。[结论]健全社会保障体系,合理引导人们就诊行为,改善其生存状态,提高劳动待遇等都是降低疾病经济负担的有效方式。
[Objectives] To study the status of medical expenditures and its influential factors for migrant workers, then to provide evidence for making the relevant policy of health economics. [ Methods] Using random cluster sampling method, migrant workers in Hangzhou were selected and interviewed for the information including social-demographic characteristics, economic status, social medical insurance, medical expenditures and so on. [ Results] The mean of annual expenditures per capita of out-patient clinic and medicines purchased by oneself was 499.32 Yuan and 180.94 Yuan respectively. The annual admission rate was 6.9% and the mean of hospitalization cost one time was 2 587.21 Yuan. Otherwise, the influential factors for the total annual medical expenditures were the time limit of working in the city, the resources of family income, the educational level, the first election of health facilities, and whether to be in hospital or not, and so on. [Conclusions] The migrant workers should be covered by the whole social medical security system, and the extent of medical insurance for migrant worketrs should be improved step by step, Besides, conducting their behavior of visiting doctors, improving their living conditions and level of salary are all effective ways of stepping down the diseases economic burden.
出处
《现代预防医学》
CAS
北大核心
2007年第20期3823-3824,3827,共3页
Modern Preventive Medicine
基金
中国卫生经济第6批招标课题(2005-06)
关键词
城市外来务工人员
医疗费用
影响因素
Urban migrant workers
Medical expenditures
Influential factors
