下岗和在岗职工家庭健康公平的比较研究  

Comparative Study on the Health Equality Status Between Families of Laid-Off Worker's and Employed Worker's

作　　者：郭清[1] 马海燕[2] 汪胜[2] 雷晓盛[2] 王小合[2] 傅家康[3] 朱月伟 陈国伶 许亮文[2] 王莹[2] 吴亚君[2] 卢祖洵[1] 

机构地区：[1]华中科技大学同济医学院,武汉430030 [2]杭州师范学院医药卫生管理学院,杭州310018 [3]杭州市下城区卫生局,杭州310004 [4]杭州市长庆潮鸣社区卫生服务中心,杭州310004

出　　处：《中国卫生经济》2005年第4期12-14,共3页Chinese Health Economics

基　　金：2002年国家社会科学基金资助项目(批准号:02CSH011)

摘　　要：采取典型抽样的方法调查浙江省杭州市下岗和在岗职工家庭健康状况和卫生服务利用情况,比较2组人群的健康公平性,并对其卫生服务需求与利用进行了讨论。结果显示下岗职工家庭的两周患病率、慢性病患病率、未就诊率和需住院而未住院率均高于在岗职工家庭,医保覆盖率低于在岗职工家庭,经济困难是影响卫生服务利用的主要原因。建议应该关注下岗职工家庭的卫生服务需要,提高医疗保障的社会化程度,改善他们的卫生服务利用状况,促进健康公平。By studying health status and health service utility in the laid-off Worker's and the employ's family in Hangzhou with method of typical sampling,this paper analyzse the health epuality and discusses health sevice demand and utility between the two different families.Results show that rwo-week prevalence and chronic disease prevalence rate of the laid-off wotker's family are higher than that of the employed's family,as well as the proportion of outpatient service and inpatient service in laid-off worker's family with health problems are low.For the laid-off worker's health service demand is high,meanwhile health service utility is low,which is related to the economic status and medical secutity.This paper proposes to concern health service demand of the unemployed's family and improve their health service utility and medical security level in order to promote the health equality.

关 键 词：卫生服务利用 家庭健康 健康公平性 慢性病患病率 卫生服务需要 两周患病率 住院率 在岗职工 下岗职工 状况 

分 类 号：R195[医药卫生—卫生统计学]