上海市流动人口健康保障现况分析与政策建议  

Analysis and policy suggestion on current situation of floating population health insurance in Shanghai

作　　者：鲍勇[1] 郭丽娟[2] 聂欢欢[1] 

机构地区：[1]上海交通大学公共卫生学院,上海200025 [2]新乡医学院公共卫生学院,河南新乡453003

出　　处：《中华全科医学》2016年第2期167-169,253,共4页Chinese Journal of General Practice

基　　金：国家自然科学基金(71373159)

摘　　要：目的 了解上海市流动人口健康保障现状及管理水平。方法 本研究以2014年5月国家卫生计生委对流入地（上海）组织的“2014全国流动人口卫生计生动态监测调查”上海市交通大学课题组数据为依据,对在上海市居住1个月及以上,非上海籍户口,且年龄为15-59周岁,总数为7 999人（其中男性为4 108人,女性3 891人）流动人口的健康保障现状进行分析,并进行统计学处理,梳理内部相关因素。结果 流动人口参加医疗相关保险的种类较为集中;不同户籍地农村流动人口参加新农合情况差别不大;不同人口学特征的流动人口参加保险总体情况不同。结论 对于从事商业、服务业,农林牧渔业的流动人口的城镇职工基本医疗保险参加情况应该重视。同时对于从事较高危职业如生产/运输业（包括建筑业）的流动人口应该进一步提高工伤保险的覆盖率,全面掌握流动人口健康保障情况,提高健康保障水平,最终达到提高流动人口的健康水平与生活质量的目的。Objective To investigate the current situation and management of health care among the floating population in Shanghai city. Methods Thedata materials from ＂the national survey of population dynamic monitoring of health and family planning in 2014＂ in Shanghai city were cited. Total 7 999 floating population （4 108 males and 3 891 females, aged 15 to 59 years old ,non-permanent address residents of Shanghai but lived more than three months in Shanghai） were enrolled into this study. The current situation of health insurance was statistically analyzed. The related internal factors were assessed. Results The types of medical insurance for floating population were relatively concentrated. The differences in rate of participation innew rural cooperative medical service were not different among the people from the different domicile. The general status of participation in medical insurance was different among the floating population with different demographic characteristics. Conclusion The basic medical insurance for urban workers engaged in the floating population of agriculture, forestry, animal husbandry and fishery industry should he paid attentions. At the same time, the coverage rate of industrial injury insurance for the floating population in higher risk occupations such as the production / transportation （including the construction industry） should be further improved. The complete control of the current situation of the floating population health will help them improve the level of health protection, and ultimately achieve the goal of improving the health and quality of life of floating population.

关 键 词：流动人口 健康保障 医疗保险 新农合 上海市 

分 类 号：R195[医药卫生—卫生统计学] R169.1[医药卫生—卫生事业管理]