摘要
目的通过调查流动人口患病后自行处置情况并分析其影响因素,为政府制定基层卫生服务政策提供参考依据。方法采用多阶段抽样方法,抽取广州市番禺区石楼镇企业在广州居住满半年以上的非广州市户口员工1 324名。应用不记名问卷进行调查,了解流动人口患病后自行处置的情况及心理。结果该流动人口群体中患病后自行找药吃、到私人诊所就医、求助社区卫生服务中心、大病到医院和小病到药房、到综合大医院、先忍上一段时间看能不能缓解的比例分别为24.2%、17.6%、12.8%、50.8%,15.0%以及17.1%。Logistic回归分析表明,女性、文化程度低的人患病后趋向于更积极求医。单身、月收入越高、就诊前担心金钱花费大、就诊前担心医务人员服务态度差的患者更易自行解决。结论各地政府在制定基层卫生服务包括妇女保健服务利用政策时,要考虑到流动人口的特殊性,探索更为廉价有效的医疗模式,对流动人口健康有重要的意义。
[Objective]To understand the situation of self-disposal of floating population after illness,to analyze its influencing factors,and provide scientific basis for the local government to develop primary health care policy.[Methods]The multi-stage sampling method was adopted to select 1 324 migrant employees from enterprises of Shilou town in Panyu District of Guangzhou who lived in Guangzhou for more than half a year.Anonymous questionnaire survey was adopted to understand the self-disposal and psychology situation after illness.[Results]Among floating population,the proportion of finding medicine to eat,going to private clinics,going to community health service center for help,going to the hospital due to serious illness,going to the pharmacy due to slight illness,going to the big hospital,enduring a period to remission after illness was 24.2%,17.6%,12.8%,50.8%,15.0% and 17.1%,respectively.Logistic regression analysis showed that the female,the low educated people tended to be more actively to seek medical advice after illness.The patients,who were single,who had higher monthly income,who worried about the cost before seeing a doctor,who worried about the poorly service attitude of medical staff before seeing a doctor,were more likely to settle it by themselves.[Conclusion]When developing basic health services,especially the women＇s health services utilization policy,the local government should concern about the particularity of floating population,explore a more cheap and effective medical pattern.It plays an important role in the health of floating population.
出处
《职业与健康》
CAS
2014年第12期1620-1623,共4页
Occupation and Health
基金
广州市番禺区流动人口卫生服务利用现状及其影响因素分析(项目编号:2012-Z-03-20)
关键词
流动人口
患病后
处置情况
影响因素
Floating population
After being sick
Disposal
Influential factors
