农村流入人口医疗卫生服务利用现状及影响因素分析  

Analysis of the current situation and influencing factors of medical and health service utilization of flowing population into rural areas

作　　者：范子娜 尹文强[1,2,3] 唐晓朦 张晗 范成鑫 张晓林 胡金伟[1,2,3] 陈钟鸣 郭洪伟[1,2,3] FAN Zi-na;YIN Wen-qiang;TANG Xiao-meng;ZHANG Han;FAN Cheng-xin;ZHANG Xiao-lin;HU Jin-wei;CHEN Zhong-ming;GUO Hong-wei(不详;School of Management,Weifang Medical College,Weifang,Shandong 261053,China)

机构地区：[1]潍坊医学院管理学院,山东潍坊261053 [2]“健康山东”重大社会风险预测与治理协同创新中心,山东潍坊261053 [3]健康相关重大社会风险预警协同创新中心,上海200032

出　　处：《现代预防医学》2022年第10期1818-1822,共5页Modern Preventive Medicine

基　　金：山东省自然科学基金项目(ZR2020MG055)。

摘　　要：目的通过分析农村流入人口医疗卫生服务利用的现状,探究影响其医疗卫生服务利用的因素,为改进农村流动人口医疗卫生服务提出建议。方法筛选2017年全国流动人口卫生计生动态监测调查数据中流入农村的流动人口39578例,分析农村流入人口医疗卫生服务利用的现状,并利用多因素logistic回归分析影响农村流入人口医疗卫生服务利用的因素。结果18922例最近一年有患病或身体不适的流入农村人口中,10705例曾就诊,就诊率为56.6%;首诊机构为本地社区卫生站和本地个体诊所的分别占24.5%和18.8%;听说过国家基本公共卫生服务项目(OR=1.127,95%CI:1.055~1.204)、已建立健康档案(OR=1.240,95%CI:1.148~1.340)、接受过健康教育(OR=1.224,95%CI:1.146~1.308)、有医保(OR=1.128,95%CI:1.003~1.268)的农村流入人口医疗卫生服务利用率高;而有工作的(OR=0.803,95%CI:0.733~0.880)、随家属迁移的(OR=0.851,95%CI:0.729~0.994)、自评健康状况健康(OR=0.514,95%CI:0.444~0.595)的农村流入人口卫生服务利用率较低。结论流入农村人口医疗卫生服务利用情况较差;患病后首诊机构多为本地社区卫生站和本地个体诊所;流动原因、就业状况、自评健康状况、健康档案建立情况、健康教育接受情况、是否听说过国家基本公共卫生服务项目以及是否有医保均会影响农村流入人口利用医疗卫生服务。Objective To analyze the current situation of health service utilization of flowing population into rural areas,explore the factors affecting their health service utilization,and give suggestions on improving health services for them.Methods A total of 39578 mobile people flowing into rural areas were selected in the 2017 national mobile population health and family planning dynamic monitoring survey data.The current situation of health service utilization of rural inflow population was analyzed,and the factors influencing the utilization of health services of rural inflow population was analyzed using multi-factor logistic regression.Results Among 18922 mobile people of rural inflow with illness or discomfort in the recent year,10705 people sought medical consultation,and the consultation rate was 56.6%;24.5%and 18.8%of the first consultation institutions were local community health stations and local individual clinics,respectively;those who heard of the national basic public health service program(OR=1.127,95%CI:1.055-1.204),established health records(OR=1.240,95%CI:1.148-1.340),received health education(OR=1.224,95%CI:1.146-1.308),and had medical insurance(OR=1.128,95%CI:1.003-1.268)had higher utilization of health services;while those who had a job(OR=0.803,95%CI:0.733-0.880),those who migrated with their families(OR=0.851,95%CI:0.729-0.994),and those with a healthy self-rated health status(OR=0.514,95%CI:0.444-0.595)had a lower utilization of health services among the rural inflow.Conclusion The utilization of health services among the rural inflow population is poor,and the first consultation institutions after illness are mostly local community health stations and local individual clinics.The reasons of mobility,employment status,self-assessed health status,health record establishment,health education acceptance,whether they hear of the national basic public health service program,and whether they have medical insurance are influencing factors of the utilization of health services among the rural inflow p

关 键 词：流入农村人口 医疗卫生服务利用 利用现状 影响因素 

分 类 号：R197.1[医药卫生—卫生事业管理]