2013年黑龙江省老年人口医疗服务利用的影响因素分析  

Analysis on the infl uencing factors of medical service utilization of the elderly population in Heilongjiang Province in 2013

作　　者：高浩[1] 孙宏[1] 吴群红[1] 郝艳华[1] 李叶[1] 何建文[1] 朱欢欢[1] 李熹[2] 

机构地区：[1]哈尔滨医科大学公共卫生学院社会医学教研室,黑龙江哈尔滨150081 [2]复旦大学公共卫生学院/国民健康社会风险预警协同创新中心,上海200032

出　　处：《中国卫生资源》2016年第6期503-506,511,共5页Chinese Health Resources

基　　金：黑龙江省社科联2014年度黑龙江经济社会发展重点研究课题"黑龙江省健康医疗服务产业研究"(0202);国家自然科学基金重点资助项目"多目标协同与优化视角下的全民医保理论模型构建;效果评价及制度体系重构研究"(71333003)

摘　　要：目的 :分析2013年黑龙江省60岁及以上老年人口医疗服务利用的影响因素,寻求提高老年人口医疗服务利用水平的途径。方法:利用2013年第五次黑龙江省卫生服务调查数据,采用SPSS 17.0对城乡分布、性别、婚姻状况、文化程度、慢性病患病状况、身体功能、接受体检状况、自我健康评价状况进行单因素分析,对影响老年人口医疗服务利用的因素进行logistic回归分析。结果 :是否患有慢性病、医保参保类型、一年内是否接受体检、身体功能状况、自我健康评价状况对老年人口的两周就诊率有影响(P<0.05)。对于老年人两周就诊率的影响由高到低的因素依次为:是否患有慢性病(OR=7.028)、医保参保类型(P<0.05)、是否接受体检(OR=1.418)、身体功能(OR=1.369)、自我健康评价状况(OR=1.189)。结论 :应不断完善医疗保障制度的建设,尤其是加大"新农合"的宣传力度,提高基层医疗机构的服务水平,保证医疗保险筹资的稳定性,加强社区健康教育并建立完善的居民健康档案,完善健康体检机构,注重慢性病的治疗与管理,推动老年医疗服务业的发展。Objective ：To analyze the influencing factors of medical service utilization of the elderly population in Heilongjiang Province in 2013,and to find the way to improve the utilization. Methods ：Data collected from the fifth health services survey in Heilongjiang Province in 2013 were used. The chi-square test and logistic regression analysis were carried out by SPSS 17.0 statistical software to analyze the influencing factors including population distribution between urban and rural areas,gender,marital status,education,prevalence of chronic diseases,physical function,physical examination condition,and self-evaluation of health status. Results ：Prevalence of chronic diseases,type of medical insurance,physical examination condition within a year,physical function and self-evaluation of health status affected two-week visiting rate of the elderly population（P〈0.05）. The influencing factors ranked from the highest to the lowest were prevalence of chronic diseases（OR=7.028）,type of medical insurance（P〈0.05）,physical examination condition（OR=1.418）,physical function（OR=1.369）,and self-evaluation of health status（OR=1.189）. Conclusion ：It is suggested to enhance medical security system,increase the publicity for the New Cooperative Medical Scheme（NCMS）,improve medical service capacity of grassroots-level medical institutions,guarantee funding stability of medical insurance,strengthen community-based health education,establish health records,perfect physical examination institutions,focus on treatment and management of chronic diseases,and promote the development of elderly medical sector.

关 键 词：医疗服务利用 两周就诊率 医保制度 老年人口 LOGISTIC回归分析 

分 类 号：R197.1[医药卫生—卫生事业管理]