摘要
目的:了解农村贫困家庭所处的健康风险分担网络的结构与功能,以期为政府优化健康风险管理提供依据。方法:选取贵州省贵定县某村庄40户家庭作为样本,采用整体社会网络分析方法对其进行问卷调查,并用Ucinet6软件对数据进行分析处理。结果:将健康风险分担网络分为经济、情感和信息支持3个维度,被调查地的情感支持网络结构完整,经济支持网络的整体结构松散,联系紧密而又高效的信息支持网络结构在本次调研中并未出现。结论:以较完整的情感支持网络为基础,以在网络内传播有效的信息为手段,是政府利用社会网络进行健康风险管理的策略选择,最终农村贫困家庭的健康风险化解的主要途径仍然要依靠政府加快建立和完善正式的保障制度,非正式的健康风险分担机制作为补充,形成一个综合的健康风险管理体系。
Objective The research aimed to address some evidences to government to optimize health risk management strategy through analyzing the structure and the function of health risk sharing network of poor households in rural areas. Method The data originated from field investigation and whole social network questionnaires.40 rural families were sampled in some village of Guiding County of Guizhou Province. The Ucinet 6 software was used to do data analysis. Results The health risk sharing network could be divided into three social support dimensions as follows： money support network, affection support network and information support network. The structure of the affection support network in the village was complete and the money support network was loose. In the research a close-linked and effective information support network was not found. Conclusions A structure-complete affection network is foundation and the information spreading is measure for the government using the social support network to manage health risk. In a comprehensive health risk management framework, the formal security system is main and the informal social support is complementary approach.
出处
《中国卫生经济》
2008年第12期31-34,共4页
Chinese Health Economics
基金
国家自然科学基金项目"中国西部农村贫困家庭健康风险模型与风险管理研究"的阶段性成果(04516002)
关键词
健康风险管理
整体社会网
农村
health risk management, whole social network analysis, rural area
