四川省大于15岁农村居民门诊医疗费用及影响因素研究  

STUDY ON THE OUTPATIENT EXPENDITURE OF RURAL RESIDENTS AND ITS INFLUENCE FACTORS IN SICHUAN

作　　者：程枫[1] 张菊英[1] 文雯[1] 力晓蓉[2] 谭玲[3] 

机构地区：[1]四川大学华西公共卫生学院,成都610041 [2]四川省卫生信息中心 [3]四川省卫生厅计财处

出　　处：《现代预防医学》2006年第12期2243-2244,2250,共3页Modern Preventive Medicine

基　　金：四川省卫生厅"卫生部第3次国家卫生服务调查"专项资助基金

摘　　要：目的:了解四川省农村居民门诊医疗费用现状并探讨其影响因素,为四川省卫生改革提供建议。方法:利用四川省第3次国家卫生服务调查西部扩点数据资料,通过描述性分析及多水平方差成分模型探讨农村居民两周门诊次均费用与影响因素。结果:四川省农村居民两周门诊次均医疗费用为20.00元,单因素分析不同年龄、不同医疗保健制度、不同级别就医机构就诊的农村居民的两周门诊次均直接费用均有统计学意义(χ2=56.225,P<0.0001;χ2=15.312,P<0.018;χ2=223.247,P<0.0001),影响因素有年龄、恩格尔系数、到最近医疗机构时间等。结论:可针对不同的影响因素,采取各种措施,达到控制四川省农村居民门诊医疗费用不合理上涨的目的。Objective： Exploring the outpatient expenditure of rural residents in Sichuan province and its influence factors to give some advice for the health reform in Sichuan. Methods： Based on the data from the enlarged investigation in west China of the third National Health service Survey in sichuan, this study described the outpatient expenditure pertime in two weeks. With multilevel variance components model, its influence factors were discussed. Results： The average outpatient expenditure of the rural residents in Siehuan is 20.00 yuan per time. Thevariables of age, medical care system and class of the hospitalized organizations were significant different （x^2 =56.225, P〈0.0001; x^2 = 15.312, P〈0.018; x^2 = 223.247, P〈0.0001）. The main influence factors are age, Engel coefficient, the time to the nearest medical organization, etc. Conclusion： In order to control the increasing outpatient expenditure of rural residents in Sichuan, according to different factors, some effective strategies should be carried out.

关 键 词：农村居民 门诊费用 两水平方差成分模型 

分 类 号：R195[医药卫生—卫生统计学]