以财富指数观察居民卫生服务利用研究  

Study on the Residents' Health Services under the Construction of the Household Wealth Index

作　　者：闫菊娥[1] 焦莎莎[1] 高建民[1] 

机构地区：[1]西安交通大学公共政策与管理学院,西安710061

出　　处：《中国卫生经济》2011年第11期30-32,共3页Chinese Health Economics

基　　金：教育部哲学社会科学研究重大课题攻关项目(08JZD0022)

摘　　要：目的:构建财富指数,用财富指数衡量家庭经济水平,分析不同经济水平居民卫生服务利用现状以及存在的问题。方法:采用多阶段分层随机整群抽样方法抽取农村和城镇样本家庭,收集样本家庭财产、收入和支出情况以及家庭成员卫生服务需要、需求和利用的相关数据,采用因子分析方法构建家庭财富指数。结果:城镇家庭财富指数与家庭年收入、家庭年支出的相关系数分别是0.538、0.511。农村家庭财富指数与农村家庭年收入、家庭年支出的相关系数分别为0.596、0.483。经济状况不佳影响居民门诊和住院服务利用。结论:以家庭耐用消费品作为家庭财产构建财富指数代表家庭的经济水平其稳定性更强,数据也更容易收集。通过提高收入、完善基本医疗保障制度、发展基层医疗机构等多项措施,改善和提高低收入居民卫生服务利用状况。Objective： To construct the Household Wealth Index to reflect the economic level, at the same time analyzing the situation of people＇s health service in different economic levels and the existing problems. Methods： Using multi-phase stratified cluster random sampling, selecting sample of rural and urban families, and collecting data about sample families＇ property, income and disbursement and some relevant data on family members＇ health services demands, needs and utilizations. Result： Correlation coefficients of urban households＇ wealth index with family income and family expenses are 0.538 and 0.511. Correlation coefficients of rural households＇ wealth index with family income and family expenses are 0.596 and 0.483. Poor economic condition affects the residents＇ outpatient and hospitalization service. Conclusion： The household wealth index constructed by family durable consumer goods could reflect the economic level more stability, and at the same time, it was easier to collect the data. To improve and enhance the low-income health services utilization status, we can increase revenue, improve the basic medical insurance system and the development of basic medical institutions.

关 键 词：财富指数 家庭经济水平 卫生服务利用 

分 类 号：R197.1[医药卫生—卫生事业管理]