新型合作医疗对东营市农村居民门诊服务利用的影响研究  

Effect of the new cooperative medical care on the use of outpatient services by the rural residents in Dongying

作　　者：杨爱军[1] 徐凌忠[1] 

机构地区：[1]山东大学公共卫生学院社会医学与卫生事业管理研究所,济南250012

出　　处：《中华医院管理杂志》2005年第2期114-117,共4页Chinese Journal of Hospital Administration

摘　　要：目的分析新型合作医疗对农村居民门诊卫生服务的影响,为完善新型合作医疗制度提供科学依据。方法采用分层整群随机抽样方法,在实施新型合作医疗前后分别对东营市居民进行入户访谈式问卷调查。结果实施新型合作医疗后农村居民的两周就诊率虽没有增加,但患者就诊流向发生改变,两周未就诊率则呈显著下降趋势,增加了居民卫生服务利用的公平性。结论新型合作医疗是农村患者就诊的有力保障。Objective To analyze the effect of the new cooperative medical care on the use of outpatient services by rural residents so as to provide scientific basis for its improvement. Methods Using the stratified cluster sampling method, house-to-house surveys on the residents of Dongying via interviews were conducted both before and after the implementation of the new cooperative medical care. Results Although the two-week rate of seeking medical services by the rural residents after the implementation of the new cooperative medical care did not increase, changes did take place in the flow direction of the patients and the rate of seeking medical services at the end of two weeks took a downward turn. Fairness in the use of health services by the residents was enhanced. Conclusion The new cooperative medical care strongly guarantees rural patients' access to medical care.

关 键 词：新型合作医疗 农村居民 就诊率 门诊服务 农村患者 分层整群随机抽样 就诊流向 增加 东营市 下降趋势 

分 类 号：R197.1[医药卫生—卫生事业管理]