四川省贫困农村居民村级门诊利用的多因素分析  

MULTIVARIATE ANALYSIS OF UTILIZATION OF VILLAGE OUTPATIENT SERVICE IN POOR RURAL COUNTY,SICHUAN,CHINA.

作　　者：陈文贤[1] 高谨[2] 毛正中[1] 戴志澄[3] 龚志平[1] 

机构地区：[1]华西医科大学,成都610041 [2]华西医科大学附二院,成都610041 [3]卫生部疾病控制司,北京100725

出　　处：《卫生软科学》1999年第5期33-37,共5页Soft Science of Health

摘　　要：本文结合１９９７ 年在国家级贫困县四川古蔺进行合作医疗试点的基线调查资料，建立了预测村级门诊医疗利用概率的Ｌｏｇｉｓｔｉｃ 回归模型。通过模型的方法分析了影响村级门诊利用的多种因素， 指出影响村级门诊利用的主要因素除了经济收入、年龄、性别等因素以外， 还受到疾病严重程度、卫生服务可及性乃至医疗技术水平、医疗服务价格等因素的影响。本文还提出了在贫困农村开展合作医疗工作中供、需双方管理需要注意的问题。Based on the baseline data got from the national-grade poor rural county Gulin,Sichuan,China,which was surveyed in 1997,we set up a logistic model to predicate the utilization probability of village outpatient service(VOS).Through the multivariate analysis,the main factors effecting the utilization of VOS was found.Beyond the traditional factors such as economic income,age,sex,the serious degree of the disease,feasibility and quality,prices of medical service are also main factors effecting the use of VOS.Some suggestions on management of consumption and supplier are offered to improve the innovation of Rural Cooperative Medical System in poor regions.

关 键 词：贫困农村 基本医疗 医疗利用 合作医疗 

分 类 号：R197.62[医药卫生—卫生事业管理]