成都市城镇职工医疗保险制度改革对卫生服务利用的影响  

THE INFLUENCE OF REFORM OF URBAN EMPLOYEE MEDICAL INSURANCE SYSTEM ON THE UTILIZATION OF MEDICAL SERVICES IN CHENGDU

作　　者：陈玉兰[1] 魏常友[2] 贾睿[1] 

机构地区：[1]成都医学院 [2]四川省卫生管理干部学院,成都610041

出　　处：《现代预防医学》2007年第18期3419-3421,共3页Modern Preventive Medicine

基　　金：四川省卫生厅资助课题(040048)

摘　　要：[目的]了解和分析成都市城镇职工医疗保险制度改革对城镇居民卫生服务利用的影响,从理论上探讨医疗保险改革的对策。[方法]对成都市两个社区的1000名城镇居民的进行问卷调查。[结果]城镇职工医疗保险制度改革对城镇居民卫生服务利用情况有影响,不同医疗保险制度覆盖人群在患病就诊率、就诊机构、及就诊考虑因素等方面都有不同。[结论]医疗保险改革需要继续扩大保险覆盖面,并引导群众合理选择就诊机构,推动社区卫生服务的发展。　[Objective]To get the information about the influence of reform of urban employee medical insurance system in chengdu and explore what current system need to be improved. [Methods]1 000 township residents were investigated by questionnaires.[Results]The reform of medical insurance system had influence on the participators in the system. Different people had different behaviors on outpatient service utilization,selecting hospitals and the influential factors of medical expenditure were also different.[Conclusion]Further reform should go on widening the coverage of medical insurace and guiding the residents toe rationalize their selection for hospitals.

关 键 词：医疗保险 卫生服务利用 

分 类 号：R197.1[医药卫生—卫生事业管理]