流动人口住院服务利用及影响因素  

Utilization status of hospitalization services and influence factors of migrant population

作　　者：蔡敏 徐玲 Cai Min;Xu Ling(Center for Health Statistics and Information, NHFPC, PRC, Beijing 100810, China)

机构地区：[1]国家卫生计生委统计信息中心,北京100810

出　　处：《中国医院统计》2019年第2期150-153,160,共5页Chinese Journal of Hospital Statistics

摘　　要：目的了解流动人口住院服务利用的状况和特点,为提高流动人口住院服务利用、改善健康状况提供依据。方法利用2013年第5次国家卫生服务调查的数据,用描述性分析和logistic回归分析流动人口的住院服务利用情况及影响因素。结果 2013年调查流动人口总住院率为7.8%,略低于城乡常住居民的9.0%;因病住院率为4.0%,仅为城乡常住人口的一半;住院病例中,48.1%的是因为分娩,该比例远高于常住人口(城市10.0%,农村10.7%);影响流动人口住院服务利用的因素有:年龄、文化程度、医保状况、就业状况、健康状况、流动状况等;流动人口需住院未住院前3位的原因分别为:经济困难35.8%、没有必要29.9%和无时间14.2%,经济原因仍是影响流动人口住院的最主要的原因,但它对流动人口的影响比对常住人口的影响小。结论加强流动人口健康意识,提高流动人口就医公平性,完善流动人口医疗费用报销机制,提高住院服务利用率,保障流动人口健康。Objective To learn about the status and characteristics of migrant population′s hospitalization service′s utilization, to provide evidence for increasing hospitalization utilization, and to promote health status of migrant population. Methods The data of the 5th China National Health Services Survey in 2013 were used, and descriptive and logistic regression methods were used to analyze the utilization status and influence factors of hospitalization of migrant population. Results The hospitalization rate of migrant population was 7.8%, lower than that of general residents (9.0%), and hospitalization rate of disease was 4.0%, only a half of that of general residents. Of all the inpatients of migrant population, 48.1% was because of delivery, much higher than that of general residents. Age, education, insurance, work status, health status, and flow condition were influence factors of hospitalization service of migrant population. The first three reasons why some of the migrant population who should be in hospital didn′t hospitalize were financial difficulty (35.8%), without necessity (29.9%) and without time (14.2%). Financial difficulty was still the most important reason, but its influence was smaller than that of the general population. Conclusion We should promote migrant population′s health consciousness. We should promote the equalization of medical and health services for migrant population, improve reimbursement mechanism of migrant population, increase hospitalization utilization, and insure migrant population′s health.

关 键 词：第5次国家卫生服务调查 流动人口 住院服务利用 

分 类 号：R195.4[医药卫生—卫生统计学]