女性乳腺癌贫困患者卫生服务利用及影响因素  

Health Service Utilization and Influencing Factors in Female Breast Cancer Patients

作　　者：孙晶晶 陈佳鹏[2] 董舞艺 孙计领 张新辉 张雅璐 张蕾[1] 陈功[1] SUN Jing-jing;CHEN Jia-peng;DONG Wu-yi(Institute of Population Research,Beijing University,Beijing,100871,China;不详)

机构地区：[1]北京大学人口研究所,北京100871 [2]中国人口与发展研究中心,北京100081

出　　处：《中国卫生经济》2022年第2期65-69,共5页Chinese Health Economics

基　　金：国家社会科学基金项目(16BRK022);国家社会科学基金重大项目(19ZDA147);中国人口与发展研究中心“人口健康与减贫战略”合作研究阶段性成果。

摘　　要：目的:分析大病专项救治政策实施前后乳腺癌女性贫困患者卫生服务利用情况及影响因素,为巩固健康扶贫效果提供实证经验和政策建议。方法:采用频数、百分比、多元logit回归模型对乳腺癌女性贫困患者卫生服务利用情况进行分析。结果:大病专项救治政策实施后,乳腺癌女性贫困患者就诊次数由年均3.68次增至5.78次,在乡镇卫生院和二级医院就诊人数增加一倍,个人自付比例下降近8个百分点;多元Logit回归发现教育、家庭成员数、劳动能力等个体特征是影响卫生服务使用的重要因素。结论:大病专项救治政策在减轻乳腺癌女性贫困患者就医负担方面效果显著;为进一步巩固扶贫成效,具有针对性的健康教育、提高妇女家庭地位等社会政策的制定至关重要。Objective:By analyzing the utilization and influencing factors of health services in female patients with breast cancer before and after the implementation of the serious illness special treatment policy,it provides empirical experience and policy suggestions for consolidating the effect of healthy poverty alleviation in the post-poverty alleviation era.Methods:The frequency,percentage and multivariate Logistic regression model are used to analyze the utilization of health services in female patients with breast cancer.Results:After the implementation of the serious illness special treatment policy,the number of female patients with breast cancer increases from 3.68 times a year to 5.78 times.The number of patients in township hospitals and secondary hospitals are doubled,and the out-of-pocket decreases by nearly 8%.Multivariate Logistic regression revealed that education,family members and workability are important factors affecting the use of health services in women with breast cancer.Conclusion:The critical illness special treatment policy has a significant effect in alleviating the medical burden of female patients with breast cancer.To further consolidate the effectiveness of poverty alleviation,it is very important to formulate social policies such as targeted health education and improving female family status.

关 键 词：贫困女性 乳腺癌 大病专项救治 卫生服务利用 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] R19