湖北省农村地区门诊服务利用的家庭聚集性分析  

Analysis of Family Clustering of Outpatient Service Utilization in Hubei Province

作　　者：张研[1,2] 牛亚冬 张亮[1,2] 

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,湖北武汉430030 [2]湖北省人文社科重点研究基地农村健康服务研究中心,湖北武汉430030

出　　处：《中国医院管理》2017年第5期24-26,30,共4页Chinese Hospital Management

基　　金：国家自然科学基金资助项目(71273099);中国博士后科学基金面上项目(2015M582231)

摘　　要：目的了解农村地区门诊服务利用的家庭聚集性大小及其分布。方法以湖北省麻城市2014年新农合门诊数据库,利用Excel2010中的"IF""LOOKUP"等函数获取样本县区所有农村家庭的门诊利用情况,利用Excel2010中的面积图和散点图绘出洛伦兹曲线并计算出基尼系数,利用IBM SPSS Stat istic22.0软件对数据进行描述性统计和方差分析等。结果 20%的家庭利用了53%的门诊服务,农村家庭门诊服务利用的基尼系数为0.516;高门诊服务利用家庭中所有成员的门诊服务利用量(17.7)均高于其他家庭(10.4,4.2);高门诊服务利用家庭主要集中在乡镇卫生院服务能力高和低的乡镇。结论农村地区门诊服务利用存在较大的家庭聚集性,家庭内部趋同性明显,存在一定不合理;基层医疗服务能力影响居民服务利用。Objective To analyze family clustering of outpatient service utilization in rural areas of China. Method Outpa- tient service information of all families in rural area of sample county was obtained on the basis of new cooperative medical system （NCMS） outpatient database, and family outpatient service utilization database was cleared out with the help of functions like ＂IF＂, ＂LOOKUP＂ and so on in Excel 2010. Lorentz curve was drawn by area graph and scatter diagram with Excel 2010, so was Gini coefficient. Descriptive statistic, variance analysis and so on were carried by IBM SPSS Statistic 20.0. Result 20% family takes up 53% of outpatient service, and rural family＇s Gini co- efficient of outpatient service utilization is 0.516. Members of high outpatient service utilization family （HOUF） used （17.7） more outpatient service than other families （10.4, 4.2）. HOUF were mainly distributed in towns with high capability of township hospital and low capability of township hospital. Conclusion Great family clustering of outpatient service uti- lization exists in rural areas. Family homogenization is distinct, in which irrationality exists. The capability of primary medical institutions influences the outpatient service utilization of residents in rural area.

关 键 词：聚集性 基尼系数 门诊服务利用 农村 家庭 

分 类 号：R197.62[医药卫生—卫生事业管理]