社会融合对跨省流动劳动力人口医疗服务利用行为的影响  

Impact of Social Integration on Medical Service Utilization Behavior for Inter-provincial Migrant Workforce Population

作　　者：叶慧[1] 粟文杰 YE Hui(School of Public Administration,South-central Minzu University,Wuhan,Hubei,430074,China)

机构地区：[1]中南民族大学公共管理学院,湖北武汉430074

出　　处：《医学与社会》2023年第4期30-36,共7页Medicine and Society

基　　金：国家社会科学基金资助项目,编号为18BMZ109。

摘　　要：目的:分析社会融合对跨省流动劳动力人口医疗服务利用行为的影响,为改善跨省流动劳动力人口健康状况提供参考。方法:基于2017年中国流动人口动态监测调查数据,采用logistic回归模型分析社会融合的多维因素对跨省流动劳动力人口患病后是否就医以及选择何种就诊机构的影响。结果:月收入指标对跨省流动劳动力人口患病后是否就医有显著的负向影响(OR=0.927,P=0.012),社会交往(OR=1.031,P=0.073)和社会参与(OR=1.218,P<0.001)会增加就诊的可能性;月收入(OR=1.140,P<0.001)、社会交往(OR=1.029,P=0.027)、社会参与(OR=1.197,P<0.001)、卫生习惯(OR=1.032,P=0.073)、融入意愿(OR=1.064,P=0.008)和居留意愿(OR=1.156,P<0.001)均对患者选择更高级别医疗机构具有显著正向作用。结论:社会融合与跨省流动劳动力人口医疗服务利用行为密切相关,高收入跨省流动劳动力人口的医疗服务利用率偏低。应从经济、行为、文化和心理等社会融合多个维度关注跨省流动劳动力人口医疗服务利用行为。Objective:To analyze the impact of social integration on the medical service utilization behavior for inter-provincial migrant workforce population,so as to provide references for improving the health status of inter-provincial migrant workforce population.Methods:Based on the data of 2017 China migrants dynamic survey,the logistic regression models were used to analyze the impact of multi-dimensional factors of social integration on whether to seek medical treatment after illness and the choice of medical institutions for the inter-provincial migrant workforce population.Results:The monthly income index had a significant negative impact on whether to seek medical treatment after illness among inter-provincial migrant workforce population(OR=0.927,P=0.012),and social interaction(OR=1.031,P=0.073)and social participation(OR=1.218,P<0.001)increased the possibility of seeing a doctor.Monthly income(OR=1.140,P<0.001),social interaction(OR=1.029,P=0.027),social participation(OR=1.197,P<0.001),hygiene habits(OR=1.032,P=0.073),willingness to integrate(OR=1.064,P=0.008)and willingness to stay(OR=1.156,P<0.001)had significant positive effects on patients'choice of higher-level medical institutions.Conclusion:Social integration is closely related to the utilization behavior of medical services of inter-provincial migrant workforce population,and the utilization rate of medical services of high-income inter-provincial migrant workforce population is low.We should pay attention to the medical service utilization behavior of inter-provincial migrant workforce population from multiple dimensions of social integration including economy,behavior,culture and psychology.

关 键 词：医疗服务 社会融合 跨省流动 劳动力人口 流动人口 

分 类 号：R193.2[医药卫生—卫生事业管理]