中泰两国基层医疗保障制度对居民就医行为的影响  

The Influence of Basic Medical Security System on Residents' Medical Behavior between China and Thailand

作　　者：罗志勇[1] 姜润生[2] 殷小寒[3] 陈闻佳[2] 张栩[2] 杨维岗[3] 

机构地区：[1]昆明医科大学第二附属医院,云南昆明650101 [2]昆明医科大学,云南昆明650500 [3]昆明医科大学第一附属医院,云南昆明650032

出　　处：《昆明医科大学学报》2015年第12期25-28,共4页Journal of Kunming Medical University

基　　金：美国中华医学会资助项目(10-032);云南省教育厅科学规划项目(Z13004)

摘　　要：目的了解中泰2国基层医疗保障制度对基层居民就医行为的影响,分析2国医疗保障制度建设的现状,找出差距,借鉴学习.方法通过问卷调查和深入访谈,就中国丽江市和泰国合艾市医疗保障制度对基层居民的就医行为的影响进行调查.结果调查结果发现泰国合艾市基层居民无论是门诊还是住院,选择医保定点医院的居民比例最高,而我国丽江市基层居民看门诊时考虑"医院距离近"的最多,不选择医保定点单位的主要原因是其分布较少或较远,不方便就诊;住院时考虑"医院的技术水平高"的基层居民最多,不选择医保定点单位的主要原因是其技术水平有限.结论建议我国政府加大投入,提高医保定点单位覆盖面,提高保障水平;建立多层次的医疗保障制度;加强宣传,提高居民参保、用保率.Objective To realize the influence of basic medical security system on residents＇ medical behavior between China and Thailand, and analyze the present situation of medical security system construction of the two countries, in order to find out the disparity and learn from Thailand. Methods The influence of basic medical security system on residents＇ medical behavior between in Lijiang City in China and Hat Yai City in Thailand was investigated by questionnaires and personal interviews. Results There was the highest percentage of residents who chose the medicare designated hospitals for both outpatient and hospitalization in Hat Yai City. However, there was the highest percentage of residents who took the distance to hospital into account for outpatient, and there was the highest percentage of residents who took high level of medical techniques of hospitals into account for hospitalization in Lijiang City in China. Inequality of distribution of the medicare designated hospitals was the main reason why outpatient did not choose those hospitals, and limited technical level of the medicare designated hospitals was the main reason why the hospitalization did not choose those hospitals in Lijiang City in China. Conclusion It is recommended that Chinese government should increase investment, improve the coverage of the medicare designated hospitals, the level, of health care financing and medical security, establish a multi-level medical security system, and strengthen the propaganda in order to improve the rates of residents participating in medical insurance and using it.

关 键 词：医疗保障制度 就医行为 基层医学服务 

分 类 号：R913[医药卫生—药学]