基于居民视角的湖北省农村卫生服务私人供给问题分析  

Analysis on the Problem of Private Supply for Rural Health Services Based on the Resident Perspective in Hubei Province

作　　者：孙翠环[1] 徐娟[1] 唐丽娟[1] 高红霞[1] 

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,武汉430030

出　　处：《医学与社会》2011年第6期37-39,共3页Medicine and Society

基　　金：国家社会科学基金项目<均等化目标下农村公共卫生服务多元化供给模型及其路径研究>;编号为08CZZ015

摘　　要：目的:从居民角度分析湖北省农村卫生服务多元化供给的现状和存在的问题。方法:采用随机抽样的方法对湖北省270名农村居民进行问卷调查。结果:农村居民患病时对私立卫生机构的首选率占4.1%;去私立医院就医的频率较低;距离近、费用便宜和态度好是农村居民去私立卫生机构就医的三大主要原因,分别占50.9%、23.1%和9.3%;对私立卫生机构的不信赖是农村居民不愿意接受卫生服务私人提供的最主要障碍,占41.0%;18.9%的居民认为私立卫生机构的医疗技术比较低。结论:居民对私立卫生机构的不认同是制约农村卫生服务多元供给的主要障碍,技术、距离和是否定点是主要影响因素。农村卫生服务多元化供给制度的实现离不开社会力量与市场的参与,当前农村地区私立卫生机构发展缓慢,政府和社会应积极探索农村卫生服务的多元供给模式,完善医疗服务市场。Objective：Analyze the present situation and question about the multi-provision of rural health services in Hubei province from the resident perspective.Methods：The method of random sampling was conducted to carry on questionnaire survey to 270 rural residents in Hubei province.Results：The rate of priority selection for the private medical institutions accounts for 4.1% when rural residents fall ill;the frequency of going to private medical institutions is low;the nearer distance,cheaper expense and better attitude is the three main reasons for rural residents to go to the private medical institutions,respectively accounts for 50.9%,23.1%,and 9.3%.The main obstacle that rural residents is not willing to accept the private health service is the distrust for the private medical institutions,accounts for 41.0%;18.9% residents consider that the medical technology of private medical institution is backward.Conclusion：The resident＇s distrust for the private medical institutions is the main obstacle that restricts the multi-provision of rural health services,technology,distance,and whether is the fixed point are the main effect factors.To achieve the multi-provision system of rural medical services can＇t be short of the participation of social strength and market,the development of private medical institutions in rural area is slow,the government and the society should positively explore the pattern for multi-provision of rural health services,perfect the medical service market.

关 键 词：农村卫生服务 私人供给 居民视角 

分 类 号：R1-9[医药卫生—公共卫生与预防医学]