流动人口健康档案状况分析  

Analyzing The Status of Health Record of Floating Population

作　　者：李秉航 郑文贵[1] 仇蕾洁 马安宁[2] Li Bing-hang(Weifang Medical University,Weifang,P.R.China)

机构地区：[1]潍坊医学院,山东潍坊261053 [2]济宁医学院

出　　处：《中国卫生事业管理》2019年第2期153-156,共4页Chinese Health Service Management

基　　金：国家自然科学基金项目"中国不同地区基本医疗卫生制度实施效果评价与策略"(71273191);"中国卫生总费用风险预警系统研究"(71673202);"健康山东"重大社会风险预测与治理协同创新中心资助课题"山东农村基层公共卫生应急人力系统脆弱性评价与发展策略研究";"新农合基金支付风险预测与策略优化研究"(XT1407003;XT1401002);山东省自然科学基金项目"公平与效率视角下新医改政策对卫生服务供需方式利益博弈机制影响的研究"(ZR2014GL012);山东省自然科学基金面上项目"基本药物制度对村级卫生人员工作行为影响的前瞻性研究"(ZR2011GM005);山东省高等学校人文社科计划项目"基本公共卫生服务均等化视角下城乡居民健康公平的社会决定因素与管理模式研究"(J17RA140);山东省研究生导师指导能力提升项目(SDYY17104)

摘　　要：目的:在我国在深化医药卫生体制改革中提出了基本公共卫生服务均等化的背景下,分析山东省流动人口健康档案的建立现状和影响因素,提出我国流动人口健康档案实施质量促进方式和可持续发展的政策建议。方法:利用全国流动人口卫生计生动态检测调查中山东省的数据,并对相关数据进行χ2检验以及Logistic回归分析。结果:没建立且没听说过健康档案的为14. 0%(842人),没建立但听说过的为21. 1%(1263人),已经建立健康档案的为57. 4%(3446人),不清楚有无建立的为7. 5%(447人)。在接受过健康教育的人中,主要途径是宣传栏87. 4%(5148人),其次是广播/电视节目78. 8%(4638人),手机短信/微信59. 0%(3476人)。发现受教育程度、农业/非农业户口、婚姻状况、年龄、流动时间、家庭平均月收入、现在就业身份与流动人口的健康档案建立率之间的区别有统计学意义,发现户籍所在地对健康档案的建立率影响程度最大。结论:山东省流动人口健康档案的建档比例有待提高;流动人口接受健康教育的教育率类别之间存在明显差异,分布很不均衡,且流动人口健康知识获取途径少。应当加大财政和政策上的扶持力度,探索适宜的健康档案管理机制。Objective To analyze the status of health record of floating population in Shandong Province and its influencing factors,and provide suggestions for its sustainable development.Methods Data of dynamic test of health and family planning of floating population in Shandong was obtained and studied with chi-square test and Logistic regression analysis.Results 14.0%of the floating population didn’t establish and hear of health records.21.1%of them didn’t establish,but had heard of health records.57.4%of them had established health records.And 7.5%of them were not sure of it.Among those who had received health education,the main route was bulletin board(87.4%),next with radio/television(78.8%)and SMS/We Chat(59.0%).The factors of education background,registered permanent residence,marital status,age,floating time,average family income,and employment had significant influence on the establishment of health record of floating population,in which the factor of registered permanent residence had the greatest influence.Conclusion The establishment of health record of floating population in Shandong Province needs to be further improved.There had significant differences of health education in floating population,which was uneven and limited.It is suggested to increase financial and policy support,and explore appropriate health record management mechanism.

关 键 词：流动人口 健康档案 健康教育 

分 类 号：R195[医药卫生—卫生统计学]