我国农村低保人群住院服务可及性研究  

Study on Hospital Service Accessibility of Rural Residents in China

作　　者：田固[1,2] 徐晓新[2] 余倩[2] 

机构地区：[1]民政部社会救助司医疗救助处,北京100721 [2]北京师范大学社会发展与公共政策学院,北京100875

出　　处：《中国社会医学杂志》2017年第3期294-297,共4页Chinese Journal of Social Medicine

摘　　要：目的分析比较农村地区的低保人群和非低保人群发生应该住院治疗而未住院的风险差异,提出增强低保对象住院服务可及性的政策建议。方法基于2009年以分层整群抽样对5省农村居民入户调查获取的24 093个样本数据,描述低保和非低保人群在性别、年龄、受教育程度及慢病患病率上的差异,并通过控制上述混杂因素,比较低保和非低保人群住院服务可及性的差异。结果控制混杂因素后,低保人群发生该住院而未住院的概率是非低保人群的2.06倍(P<0.001),且这种差异随着年龄的推移而增长。结论农村低保人群的住院服务公平性和住院服务可及性较差,应加大对该人群的政策支持力度,改善其住院服务可及性,以更好地保障所有社会成员基本医疗服务的公平性。Objectives To estimate the equity of hospitalization services in poor rural areas of China.Methods Data were obtained from stratified cluster sample survey of rural households in 5provinces of China in 2009.Differences of gender,age,education and disease condition between people who lived with subsistence allowances and people without subsistence allowance were compared by descriptive analysis.Logistic regression analysis was applied to identify the equity of hospitalization services in poor rural population.Results Compared with people without subsistence allowances,the mean age of people with subsistence allowances was higher（P〈0.001）.And the risk of inequity in hospitalization service of poor rural people was double of other rural people after adjusting the confounding factors.Conclusions Inequity of hospitalization services in poor rural population was serious and more attentions should be paid and policy guidance is needed to insure the equity of basic medical services for all social members.

关 键 词：住院服务 公平性 农村低保人群 

分 类 号：R197.1[医药卫生—卫生事业管理]