大连市流动人口卫生服务可及性及影响因素分析  

Access of Health Care Services and Influencing Factors among Migrants in Dalian

作　　者：徐嘉[1] 张磊 周令[1] 宁岩[1] 李晓枫[1] 肖晶[1] 任苒[1] 

机构地区：[1]大连医科大学,辽宁大连116021 [2]大连市爱国卫生委员会,辽宁大连116021

出　　处：《中国卫生经济》2014年第7期72-74,共3页Chinese Health Economics

摘　　要：目的:通过研究大连市流动人口卫生服务可及性及影响因素,提出改善可及性的建议。方法:采用问卷调查方式,对六个不同行业的外来流动人口进行调查。运用单因素和多因素分析方法分析影响卫生服务可及性的因素。结果:流动人口的卫生服务利用率较低,医疗服务未利用率相对高,达52.8%,未得到基本公共卫生服务的比例为45.8%;影响可及性的因素主要有性别、年龄、用人单位、医疗保险覆盖率、收入、健康素养等。结论:流动人口的卫生服务可及性较低。建议积极改善流动人口基本公共卫生服务的可及性,提高用人单位的医疗保障意识,提高流动人口健康素养和对公共卫生服务的关注度,完善流动人口的医疗保障体系。Objective： To study the access of health care services among migrants in Dalian, analyze the influence factors and provide proposals on improving the accessibility. Methods： Using the questionnaire to study the immigrants from six different industries. The influence factors on access were analyzed by mono-factor and multi-factor analysis. Results： Health service utilization among migrants was at a low level, while the non-utilization proportion of health care services was relatively high （52.8%） , the proportion of the migrants did not have health care services was 45.8%. The main influencing factors of accessibility were sex, age, employing unit, insurance coverage, income, health literacy and so on. Conclusion： Accessibility of health care among migrants is poor. It is suggested to promote the access of basle public health services for migrants, enhance health care awareness of employing unit, improve migrants＇ health literacy, improve their attentions to the public health services and perfect the social security system for migrants.

关 键 词：流动人口 卫生服务可及性 影响因素 大连 

分 类 号：R197.1[医药卫生—卫生事业管理]