山东省某县新农合制度下农村居民住院率分析  

Hospitalization rate and its impact factors analysis in Shandong rural areas under the new rural cooperative medical system

作　　者：赵枞 卞鹰[1] 

机构地区：[1]中华医药研究院澳门大学,澳门特别行政区999078

出　　处：《中国农村卫生事业管理》2015年第8期953-956,共4页Chinese Rural Health Service Administration

摘　　要：目的:了解新农合制度下农村居民住院率,对提高住院卫生服务利用及其公平性提出相应政策建议。方法:获取山东省某县2011年度1-7月份参加新农合的全部住院患者信息,结合参合总人口数计算住院率,运用统计软件SPSS 20.0,采用非参数Binomial检验和Crosstabsχ2检验分析该县住院率及其影响因素。结果:2011年该县农村居民住院率64.08‰。其中:男性住院率65.48‰,女性62.65‰,呼吸系统疾病住院率最高,达24.10‰,老、少人群住院率高于其他人群,乡镇之间住院率差异大。不同疾病类型、性别、年龄及乡镇住院率存在差异。结论:与全国农村平均数据相比,该县住院卫生服务利用较低,政府应完善新农合制度和建立促进住院服务利用的卫生政策。同时应注重不同疾病类型、人群以及乡镇因素对住院率的影响,合理公平分配医疗卫生资源,保证乡镇之间卫生服务利用公平性,向重点疾病和人群进行适当倾斜。提高孕产妇住院生产率,改善女性住院率低的现状。Objective To find out the hospitalization rate and its impact factors in Shandong rural areas under the new rural cooperative medical system and to propose corresponding policy recommendations to improve the inpatients＂ health services utilization and its equity. Methods All the inpatients information in rural hospitals of a county in Shandong province during the first seven months of the year 2011 was collected. Combined with the total population, the hospitali- zation rate can be calculated. SPSS20.0, along with the Binomial of Non-- parametric tests and 2 test of Crosstabs were used to analyze the hospitalization rate and its impact factors. Results The hospitalization rate of this county in 2011 was 64.08%0,which was far below the rate of the national rural areas. The male hospitalization rate 65. 48~0 was higher than female 62.65%0 ,which was contrary to the national data that the female is higher than male. Respiratory disease had the highest hospitalization rate of 24.10%0. The old and young people had higher hospitalization rate than the other groups. Hospitalization rates varied widely between towns. Different types of diseases, gender, age and towns were all the impact factors of the hospitalization rate. Conclusions In comparison with the national average data of rural areas, the inpatients＇ health services utilization in a county of Shandong province is low. So the government should improve the new rural cooperative medical system and set up health policy to promote the inpatients＂ health services utilization. Meanwhile,the government should also focus on the impact that different type of diseases,different groups of people and different towns have on hospitalization rate. Health care resources should be reasonably distributed among towns to ensure the health services utilization equity and appropriately assigned to certain priority diseases and groups of people. In addition,maternal hospital productivity should be increased to improve the low hospitalization rate of female.

关 键 词：新型农村合作医疗 卫生服务利用 住院率 

分 类 号：R197.3[医药卫生—卫生事业管理]